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

Tananna Raylynn Jackson

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1578432522

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

Licensed in
CA
In the registry since
2025

Practice location Address checks out

2550 W Clinton Ave Unit 311
Fresno, CA 93705-4218
Phone: (559) 365-9665
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 17666 (CA)

Record details

NPI number1578432522
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 29, 2025
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 2025

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