Shanee Domonique Jackson, - Counselor in Stockton, CA

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Shanee Domonique Jackson, is a Substance Abuse Rehabilitation Facility based in Stockton, California. Shanee Domonique Jackson is licensed to practice in California (license number ) and her current practice location is 819 E Hammer Ln Apt 139, Stockton, California. She can be reached at her office (for appointments etc.) via phone at (209) 983-7290.

NPI number for Shanee Domonique Jackson is 1255262887 and her current mailing address is 819 E Hammer Ln Apt 139, Stockton, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255262887.

Contact Information

Shanee Domonique Jackson,
819 E Hammer Ln Apt 139,
Stockton, CA 95210-2751
(209) 983-7290
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameShanee Domonique Jackson
GenderFemale
SpecialitySubstance Abuse Rehabilitation Facility
Location819 E Hammer Ln Apt 139, Stockton, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1255262887
  • Provider Enumeration Date: 05/25/2026
  • Last Update Date: 05/25/2026

Medical Identifiers

Medical identifiers for Shanee Domonique Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255262887NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 25707 (* (Not Available))Secondary
324500000XSubstance Abuse Rehabilitation Facility (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shanee Domonique Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shanee Domonique Jackson,
819 E Hammer Ln Apt 139,
Stockton, CA 95210-2751

Ph: (209) 983-7290		Shanee Domonique Jackson,
819 E Hammer Ln Apt 139,
Stockton, CA 95210-2751

Ph: (209) 983-7290

Reviews and Comments


Substance Abuse Rehabilitation Facility in Stockton, CA


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