Mishelle Jackson, SUDPT
NPI #1053192377 in Taholah, Washington
Provider Information
- NPI Number
- 1053192377
- Entity Type
- Individual
- Name
- Mishelle Jackson, SUDPT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- SUDPT
- Enumeration Date
- Oct 12, 2023
- Last Updated
- Oct 12, 2023
Practice Location
- Address
- 1505 KLA-OOK-WA DR
- City
- Taholah
- State
- Washington
- ZIP Code
- 98587
- Phone
- (360) 276-8215
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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