Individual provider · Type 1 NPI
Shanean L. Jackson
Peer Specialist · Vancouver, WA
NPI number
1427894203
Active
Practice location
5115 NE 82nd Ave Ste 101
Vancouver, WA 98662-6842
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None listed |
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.
4 other providers at this address
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About NPI 1427894203
Shanean L. Jackson's National Provider Identifier is 1427894203, issued on Jul 2, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Vancouver, WA. The record was last updated on Oct 26, 2026.