Individual provider · Type 1 NPI

Teague Matthew Jackson

Addiction (Substance Use Disorder) Counselor · Missoula, MT

NPI number 1124947254 Active

About NPI 1124947254

Teague Matthew Jackson's National Provider Identifier is 1124947254, issued on Jul 13, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Missoula, MT. The record was last updated on Jul 13, 2026.