person
Mr. Adam Jackson, CDPT
Addiction (Substance Use Disorder) Counselor in Kingston, Washington
NPI 1942734884

Adam Jackson is an Addiction (Substance Use Disorder) Counselor based in Indianola, WA and is specialized in Addiction (Substance Use Disorder). Adam Jackson practices in Kingston, WA and has the professional credentials of CDPT. The NPI Number for Adam Jackson is 1942734884 and holds a License No. CO60375850 (Washington).

The current practice location address for Adam Jackson is 31912 Little Boston Rd Ne, Kingston, WA and can be reached out via phone at 360-297-6329 and via fax at 360-297-9678.

Location: 31912 Little Boston Rd Ne, Kingston, WA, 98342-9706
person
Provider Profile Details
NPI Number
1942734884
Provider Name
Adam Jackson
Credential
CDPT
Provider Entity Type
Individual
Gender
Male
Address
31912 Little Boston Rd Ne, Kingston, WA, 98342-9706
Phone Number
360-297-6329
Fax Number
360-297-9678
Provider Enumeration Date
04/18/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
31912 Little Boston Rd Ne
City
State
Zip
98346-9700
Phone Number
360-297-6329
Fax Number
360-297-9678
person
Provider Business Mailing Address Details
Address
31912 Little Boston Rd Ne
City
State
Zip
98346-9700
Phone Number
360-297-6329
Fax Number
360-297-9678
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CO60375850 (Washington)
Definition
Definition to come...
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