Individual
MISHELLE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
1505 KLA-OOK-WA DR, TAHOLAH, WA 98587
(360) 276-8215
Mailing address
PO BOX 219, TAHOLAH, WA 98587-0219
(360) 276-8215
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO-61267571
WA
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us