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

Mr. Adam Jackson, LMFTA, SUDP

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1942734884

Mr. Adam Jackson, LMFTA, SUDP is an Addiction (Substance Use Disorder) Counselor in Indianola, Washington. Licensed in Washington. Registered with an NPI since 2017.

Licensed in
WA
In the registry since
2017
Specialties on file
2

Practice location Address checks out

21324 Sister Sky Ln NE
Indianola, WA 98342-9706
Phone: (360) 535-4535
Show map & directions

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

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence MG70044723 (WA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CP60762987 (WA)

Record details

NPI number1942734884
Entity typeIndividual (Type 1)
GenderMale
Credentials LMFTA , SUDP
Sole proprietorNo
NPI enumeratedApril 18, 2017
Last updated in NPPESFebruary 19, 2026
Certification dateFebruary 19, 2026