Individual provider · Type 1 NPI

Carol E. Jackson

Peer Specialist · Colville, WA

NPI number 1346097391 Active

Practice location

165 E Hawthorne Ave
Colville, WA 99114-2629

Call (509) 684-4597 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Peer Specialist Primary 175T00000XCG61581853 (WA)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1346097391

Carol E. Jackson's National Provider Identifier is 1346097391, issued on May 6, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Colville, WA. The record was last updated on Jul 2, 2024.