Carol E Jackson
NPI #1346097391 in Colville, Washington
Provider Information
- NPI Number
- 1346097391
- Entity Type
- Individual
- Name
- Carol E Jackson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Peer Specialist
- Enumeration Date
- May 6, 2024
- Last Updated
- Jul 2, 2024
Practice Location
- Address
- 165 E HAWTHORNE AVE
- City
- Colville
- State
- Washington
- ZIP Code
- 99114-2629
- Phone
- (509) 684-4597
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Peer Specialist |
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