Individual provider · Type 1 NPI
Mishelle Jackson, SUDPT
Addiction (Substance Use Disorder) Counselor · Taholah, WA
NPI number
1053192377
Active
Practice location
1505 Kla-Ook-Wa Dr
Taholah, WA 98587
Mailing address
PO Box 219
Taholah, WA 98587-0219
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CO-61267571 (WA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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- Mary Louise Hart, ARNPFamily Nurse Practitioner Taholah, WA NPI 1851563860
- Pavel Mitin, PharmDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Taholah, WA NPI 1225657844
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Other addiction (substance use disorder) counselor providers in Taholah
- Erica Susanna Jackson, SUDP/TAddiction (Substance Use Disorder) Counselor Taholah, WA NPI 1558212605
- Robert J. Lagerquist, CHEMICAL DEPENDENCYAddiction (Substance Use Disorder) Counselor Taholah, WA NPI 1699911875
- David A. Hagen, CHEMICAL DEPENDENCYAddiction (Substance Use Disorder) Counselor Taholah, WA NPI 1760628937
- Ernie V. SanchezAddiction (Substance Use Disorder) Counselor Taholah, WA NPI 1962771782
About NPI 1053192377
Mishelle Jackson, SUDPT's National Provider Identifier is 1053192377, issued on Oct 12, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Taholah, WA. The record was last updated on Oct 12, 2023.