SearchCaliforniaRehabilitation Practitioner

Tandreya Jackson

NPI 1730637125 · on the registry since 2016

Practice

Address
160 Glen Cove Marina Rd E Ste 102
Vallejo, CA 94591
Phone
(707) 648-2000
Organisation at this address
Luxor Care Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
29

Registry record

Primary taxonomy
Rehabilitation Practitioner
225400000X
Also registered as
Counselor
Case Manager/Care Coordinator
Mental Health Counselor
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-04-03

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