Mrs. Miranda Jaksha, SUDP-T
Mrs. Miranda Jaksha, SUDP-T is an Addiction (Substance Use Disorder) Counselor in Longview, Washington. Licensed in Washington. Registered with an NPI since 2024.
- Licensed in
- WA
- In the registry since
- 2024
Practice location Address checks out
900 Fir StLongview, WA 98632-2544
Phone: (360) 353-9422
Fax: (360) 575-1950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 61491028 (WA) |
|---|
Record details
| NPI number | 1174355499 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | SUDP-T |
| Sole proprietor | No |
| NPI enumerated | August 15, 2024 |
| Last updated in NPPES | August 15, 2024 |
| Certification date | August 15, 2024 |
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Melissa S Hepler, SUDP
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-
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Bryan Kerr, CDP
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-
Chelcie M Kolaski, CDP
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-
MS. Machelle Denise Kurtz I, CP61083985
900 Fir St, Longview, WA 98632-2544 · (360) 575-3316