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

Jackie Wiseman

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1184486441

Jackie Wiseman is an Addiction (Substance Use Disorder) Counselor in Brookings, Oregon. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

615 5th St # 300
Brookings, OR 97415-9199
Phone: (877) 408-8941
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

Record details

NPI number1184486441
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 23, 2024
Last updated in NPPESJanuary 23, 2024
Certification dateJanuary 23, 2024
Mailing addressPo Box 1121, Roseburg, OR 97470-0254

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