LYNETTE JACKSON

Counselor - Mental Health

Active Individual
NPI: 1154288256

Practice Address

2200 STANDIFORD AVE APT 126
Modesto, CA 95350

Phone: (209) 569-3351

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X No 202030210947 (CA)
Health & Wellness Coach 171400000X No 202030210947 (CA)
Contractor 171W00000X No 202030210947 (CA)
Case Manager/Care Coordinator 171M00000X No 202030210947 (CA)
Health Educator 174H00000X No 202030210947 (CA)
Home Health 251E00000X No 202030210947 (CA)
Homeopath 175L00000X No 202030210947 (CA)
Local Education Agency (LEA) 251300000X No 202030210947 (CA)
Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320600000X No 202030210947 (CA)
Case Management 251B00000X No 202030210947 (CA)
Counselor - Mental Health 101YM0800X Yes 202030210947 (CA)

Frequently Asked Questions

NPI 1154288256 is the National Provider Identifier for LYNETTE JACKSON, a Counselor - Mental Health provider located in Modesto, CA. This NPI was enumerated on January 8, 2026.
LYNETTE JACKSON practices at 2200 STANDIFORD AVE APT 126, Modesto, CA 95350.

Quick Facts

NPI
1154288256
Type
Individual
Enumerated
Jan 8, 2026
Last Updated
Jan 8, 2026