Individual provider · Type 1 NPI

Jessica L. Shackelton, MSW

Mental Health Counselor · Tillamook, OR

NPI number 1508032269 Active

Practice location

906 Main Ave
Tillamook, OR 97141-3816

Fax (503) 812-1870

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1508032269

Jessica L. Shackelton, MSW's National Provider Identifier is 1508032269, issued on May 2, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tillamook, OR. The record was last updated on May 2, 2008.