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

Tandreya Jackson

Individual provider Counselor · NPI 1730637125

Tandreya Jackson is a Counselor in Vallejo, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
Specialties on file
4

Practice location Address checks out

160 Glen Cove Marina Rd E Ste 102
Vallejo, CA 94591-7290
Phone: (707) 648-2000
Show map & directions

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

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X
Counselor Taxonomy 101Y00000X
Case Manager/Care Coordinator Taxonomy 171M00000X
Mental Health Counselor Taxonomy 101YM0800X (CA)

Record details

NPI number1730637125
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 14, 2016
Last updated in NPPESApril 3, 2026
Certification dateApril 3, 2026
Mailing address160 Glen Cove Marina Rd E Ste 102, Vallejo, CA 94591-7290

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