Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Nathan Irex Jackson

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1649058561

Mr. Nathan Irex Jackson is an Addiction (Substance Use Disorder) Counselor in Hayward, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

2575 Depot Rd
Hayward, CA 94545-2341
Phone: (510) 571-0666
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 101YA0400X (CA)

Record details

NPI number1649058561
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 20, 2023
Last updated in NPPESSeptember 20, 2023
Certification dateSeptember 20, 2023

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