location
search-icon
person
Mishelle Jackson, SUDPT
Addiction (Substance Use Disorder) Counselor in Taholah, Washington
NPI 1053192377

Mishelle Jackson is an Addiction (Substance Use Disorder) Counselor based in Taholah, WA and is specialized in Addiction (Substance Use Disorder). Mishelle Jackson practices in Taholah, WA and has the professional credentials of SUDPT. The NPI Number for Mishelle Jackson is 1053192377 and holds a License No. CO-61267571 (Washington).

The current practice location address for Mishelle Jackson is 1505 Kla-Ook-Wa Dr, Taholah, WA and can be reached out via phone at 360-276-8215.

Location: 1505 Kla-Ook-Wa Dr, Taholah, WA, 98587-0219
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053192377
Provider Name
Mishelle Jackson
Credential
SUDPT
Provider Entity Type
Individual
Gender
Female
Address
1505 Kla-Ook-Wa Dr, Taholah, WA, 98587-0219
Phone Number
360-276-8215
Fax Number
Provider Enumeration Date
10/12/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1505 Kla-Ook-Wa Dr
City
Taholah
State
Washington
Zip
98587
Phone Number
360-276-8215
Fax Number
person
Provider Business Mailing Address Details
Address
1505 Kla-Ook-Wa Dr
City
Taholah
State
Washington
Zip
98587
Phone Number
360-276-8215
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
CO-61267571 (Washington)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.