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

Roshon Davon Jackson

Individual provider Counselor · NPI 1205778479

Roshon Davon Jackson is a Counselor in Philadelphia, Pennsylvania. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

1420 Walnut St
Philadelphia, PA 19102-4017
Phone: (215) 529-1109
Show map & directions

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1205778479
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 7, 2026
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026

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