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

Shanee Domonique Jackson

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1255262887

Shanee Domonique Jackson is an Addiction (Substance Use Disorder) Counselor in Stockton, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2026
Specialties on file
2

Practice location Address checks out

819 E Hammer Ln Apt 139
Stockton, CA 95210-2751
Phone: (209) 983-7290
Show map & directions

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

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 25707

Record details

NPI number1255262887
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 25, 2026
Last updated in NPPESMay 25, 2026
Certification dateMay 24, 2026

Other providers in Stockton