Mishelle Jackson, SUDPT
Mishelle Jackson, SUDPT is an Addiction (Substance Use Disorder) Counselor in Taholah, Washington. Licensed in Washington. Registered with an NPI since 2023.
- Licensed in
- WA
- In the registry since
- 2023
Practice location Address checks out
1505 Kla-Ook-Wa DrTaholah, WA 98587
Phone: (360) 276-8215
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence CO-61267571 (WA) |
|---|
Record details
| NPI number | 1053192377 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | SUDPT |
| Sole proprietor | No |
| NPI enumerated | October 12, 2023 |
| Last updated in NPPES | October 12, 2023 |
| Certification date | October 10, 2023 |
| Mailing address | Po Box 219, Taholah, WA 98587-0219 |
Other providers in Taholah
-
Mr. David A Hagen, CHEMICALDEPENDENCY
1505 Kla-Ook-Wa, Taholah, WA 98587-0219 · (360) 276-4405
-
Erica Susanna Jackson, SUDP/T
1505 Kla-Ook Wa Dr, Taholah, WA 98587 · (360) 276-8211
-
Mr. Robert J Lagerquist, CHEMICALDEPENDENCY
1505 Kla-Ook-Wa St, Taholah, WA 98587-0219 · (360) 276-4405
-
Ernie V Sanchez
1505 Kla-Ook-Wa Dr, Taholah, WA 98587 · (360) 276-4405