Jackie Wiseman

NPI #1184486441 in Brookings, Oregon

Provider Information

NPI Number
1184486441
Entity Type
Individual
Name
Jackie Wiseman
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Jan 23, 2024
Last Updated
Jan 23, 2024

Practice Location

Address
615 5TH ST # 300
State
Oregon
ZIP Code
97415-9199
Phone
(877) 408-8941

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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