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

Shyra D'Ann Jackson

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1134635824

Shyra D'Ann Jackson is an Addiction (Substance Use Disorder) Counselor in Richmond, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017

Practice location Address checks out

12960 San Pablo Ave
Richmond, CA 94805-1307
Phone: (510) 215-2280
Fax: (510) 215-2283
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 12554-R (CA)

Record details

NPI number1134635824
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 18, 2017
Last updated in NPPESDecember 18, 2017
Mailing address1901 Church Ln, San Pablo, CA 94806-3707

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