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

Mr. Tracey L Jackson

Individual provider Counselor · NPI 1558486803

Mr. Tracey L Jackson is a Counselor in Sacramento, California. Works from 2 locations. Registered with an NPI since 2007.

In the registry since
2007
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Practice location Address checks out

4612 Roosevelt Ave
Sacramento, CA 95820
Phone: (916) 457-3129
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7000 Franklin Blvd Ste 200, Sacramento, CA 95823-1865 — (916) 394-0800

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1558486803
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 19, 2007
Last updated in NPPESJanuary 11, 2019

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