Individual provider · Type 1 NPI

Jackie Wiseman

Addiction (Substance Use Disorder) Counselor · Brookings, OR

NPI number 1184486441 Active

Practice location

615 5th St # 300
Brookings, OR 97415-9199

Call (877) 408-8941 Map

Mailing address

PO Box 1121
Roseburg, OR 97470-0254

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1184486441

Jackie Wiseman's National Provider Identifier is 1184486441, issued on Jan 23, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Brookings, OR. The record was last updated on Jan 23, 2024.