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

Kelly Colleen Jackson, CDPT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1629544655

Kelly Colleen Jackson, CDPT is an Addiction (Substance Use Disorder) Counselor in Everett, Washington. Licensed in Washington. Registered with an NPI since 2018.

Licensed in
WA
In the registry since
2018

Practice location Address checks out

811 Madison St
Everett, WA 98203-4543
Phone: (425) 212-4200
Fax: (425) 212-4201
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 CO60869651 (WA)

Record details

NPI number1629544655
Entity typeIndividual (Type 1)
GenderFemale
Credentials CDPT
Sole proprietorNo
NPI enumeratedOctober 17, 2018
Last updated in NPPESMay 13, 2019

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