Organization
TRUE ROOTS BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDYCE JACKSON CDP.CP.61662333 (SUBSTANCE USE DISORDER PROFESSIONAL)
(951) 239-8784
Entity
Organization
Contact information
Practice address
100 N HOWARD ST STE R, SPOKANE, WA 99201-0508
(206) 567-8990
Mailing address
100 N HOWARD ST STE R, SPOKANE, WA 99201-0508
(206) 567-8990
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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