Individual provider · Type 1 NPI

Jessica Skelton, CADC-II, QMHA-I, CRM

Addiction (Substance Use Disorder) Counselor · Coburg, OR

NPI number 1982280194 Active

Practice location

1 Serenity Ln
Coburg, OR 97408-9350

Call (541) 284-5681 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X21-01-10023 (OR)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1982280194

Jessica Skelton, CADC-II, QMHA-I, CRM's National Provider Identifier is 1982280194, issued on Mar 19, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Coburg, OR. The record was last updated on Jun 11, 2026.