Individual provider · Type 1 NPI

Jackie Williams, CADC

Addiction (Substance Use Disorder) Counselor · Meridian, ID

NPI number 1891552444 Active

Practice location

366 SW 5th Ave Ste 100
Meridian, ID 83642-8600

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 1891552444

Jackie Williams, CADC's National Provider Identifier is 1891552444, issued on Feb 29, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Meridian, ID. The record was last updated on Feb 29, 2024.