person
Jackie Wiseman
Addiction (Substance Use Disorder) Counselor in Brookings, Oregon
NPI 1184486441

Jackie Wiseman is an Addiction (Substance Use Disorder) Counselor based in Roseburg, OR and is specialized in Addiction (Substance Use Disorder). Jackie Wiseman practices in Brookings, OR. The NPI Number for Jackie Wiseman is 1184486441 and holds a License No. (Oregon).

The current practice location address for Jackie Wiseman is 615 5Th St # 300, Brookings, OR and can be reached out via phone at 877-408-8941.

Location: 615 5Th St # 300, Brookings, OR, 97470-0254
person
Provider Profile Details
NPI Number
1184486441
Provider Name
Jackie Wiseman
Credential
Provider Entity Type
Individual
Gender
Female
Address
615 5Th St # 300, Brookings, OR, 97470-0254
Phone Number
877-408-8941
Fax Number
Provider Enumeration Date
01/23/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
615 5Th St # 300
City
State
Zip
97415-9199
Phone Number
877-408-8941
Fax Number
person
Provider Business Mailing Address Details
Address
615 5Th St # 300
City
State
Zip
97415-9199
Phone Number
877-408-8941
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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