Search › California › 101YA0400X
Scott Jackson, CADC II
NPI 1902278690 · on the registry since 2015 · sole proprietor
Practice
- Address
- 3148 Midway Dr # 113
San Diego, CA 92110 - Phone
- (619) 619-3630
- Fax
- (619) 362-9905
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 171M00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-04-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California