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

Shawana Jackson

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1659730414

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

Licensed in
CA
In the registry since
2016

Practice location Address checks out

13715 Cordary Ave Apt 246
Hawthorne, CA 90250-7419
Phone: (310) 661-0441
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 CAADE 5365-R (CA)

Record details

NPI number1659730414
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 22, 2016
Last updated in NPPESFebruary 22, 2016
Mailing address13715 Cordary Ave Apt 246, Hawthorne, CA 90250-7419

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