Erica Susanna Jackson, SUDP/T
NPI #1558212605 in Taholah, Washington
Provider Information
- NPI Number
- 1558212605
- Entity Type
- Individual
- Name
- Erica Susanna Jackson, SUDP/T
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- SUDP/T
- Enumeration Date
- Feb 5, 2026
- Last Updated
- Feb 5, 2026
Practice Location
- Address
- 1505 KLA-OOK WA DRIVE
- City
- Taholah
- State
- Washington
- ZIP Code
- 98587
- Phone
- (360) 276-8211
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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