Individual provider · Type 1 NPI

Jackie Sue Truett

Addiction (Substance Use Disorder) Counselor · Poplar Bluff, MO

NPI number 1902987209 Active

Practice location

1500 N Westwood Blvd
Poplar Bluff, MO 63901-3318

Call (573) 778-4799 Map

Fax (573) 778-4566

Mailing address

935 Montclair Dr
Poplar Bluff, MO 63901-2136

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 1902987209

Jackie Sue Truett's National Provider Identifier is 1902987209, issued on Oct 17, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Poplar Bluff, MO. The record was last updated on Jul 8, 2007.