MR. Adam Jackson, CDPT
NPI #1942734884 in Kingston, Washington
Provider Information
- NPI Number
- 1942734884
- Entity Type
- Individual
- Name
- MR. Adam Jackson, CDPT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- CDPT
- Enumeration Date
- Apr 18, 2017
- Last Updated
- Apr 18, 2017
Practice Location
- Address
- 31912 LITTLE BOSTON RD NE
- City
- Kingston
- State
- Washington
- ZIP Code
- 98346-9700
- Phone
- (360) 297-6329
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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