Individual provider · Type 1 NPI

David Jackson

Addiction (Substance Use Disorder) Counselor · Lakewood, WA

NPI number 1730723172 Active

Practice location

9720 S Tacoma Way
Lakewood, WA 98499-4456

Mailing address

15 Oregon Ave Ste 308
Tacoma, WA 98409-7462

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 1730723172

David Jackson's National Provider Identifier is 1730723172, issued on Oct 29, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lakewood, WA. The record was last updated on Oct 29, 2019.