Individual provider · Type 1 NPI

Jaden Laeauna Cisco

Addiction (Substance Use Disorder) Counselor · Williamson, WV

NPI number 1467378398 Active

Practice location

1609 W 3rd Ave
Williamson, WV 25661-3006

Call (304) 443-4562 Map

Mailing address

PO Box 613
Williamson, WV 25661-0613

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 1467378398

Jaden Laeauna Cisco's National Provider Identifier is 1467378398, issued on Jun 25, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Williamson, WV. The record was last updated on Jun 25, 2026.