Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Erica Susanna Jackson, SUDP/T

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1558212605

Erica Susanna Jackson, SUDP/T is an Addiction (Substance Use Disorder) Counselor in Taholah, Washington. Licensed in Washington. Registered with an NPI since 2026.

Licensed in
WA
In the registry since
2026

Practice location Address checks out

1505 Kla-Ook Wa Dr
Taholah, WA 98587
Phone: (360) 276-8211
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CO61691434 (WA)

Record details

NPI number1558212605
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUDP/T
Sole proprietorNo
NPI enumeratedFebruary 5, 2026
Last updated in NPPESFebruary 5, 2026
Certification dateFebruary 2, 2026

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