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Ms. Jackie Elaine Washbish, SUDP
Addiction (Substance Use Disorder) Counselor in Mount Vernon, Washington
NPI 1376986174

Jackie Elaine Washbish is an Addiction (Substance Use Disorder) Counselor based in Mount Vernon, WA and is specialized in Addiction (Substance Use Disorder). Jackie Elaine Washbish practices in Mount Vernon, WA and has the professional credentials of SUDP. The NPI Number for Jackie Elaine Washbish is 1376986174 and holds a License No. (Washington).

The current practice location address for Jackie Elaine Washbish is 904 S 3Rd St, Mount Vernon, WA and can be reached out via phone at 360-856-6300 and via fax at 564-209-7048.

Location: 904 S 3Rd St, Mount Vernon, WA, 98273-4324
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376986174
Provider Name
Jackie Elaine Washbish
Credential
SUDP
Provider Entity Type
Individual
Gender
Female
Address
904 S 3Rd St, Mount Vernon, WA, 98273-4324
Phone Number
360-856-6300
Fax Number
564-209-7048
Provider Enumeration Date
04/10/2013
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2265964 05 WA
institution
Provider Business Practice Location Address Details
Address
904 S 3Rd St
City
Mount Vernon
State
Washington
Zip
98273-4324
Phone Number
360-856-6300
Fax Number
564-209-7048
person
Provider Business Mailing Address Details
Address
904 S 3Rd St
City
Mount Vernon
State
Washington
Zip
98273-4324
Phone Number
360-856-6300
Fax Number
564-209-7048
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
CP60708363 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(Washington)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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