Individual provider · Type 1 NPI

Jackson Wilshire, M.A., LPC-INT

Mental Health Counselor · Longview, WA

NPI number 1609273168 Active

Practice location

1230 7th Ave
Longview, WA 98632-3166

Call (800) 813-2000 Map

Mailing address

500 NE Multnomah St Ste 100
Portland, OR 97232-2031

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLH60925398 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1609273168

Jackson Wilshire, M.A., LPC-INT's National Provider Identifier is 1609273168, issued on Nov 28, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Longview, WA. The record was last updated on Jul 30, 2025.