Individual
MS. JACKIE ELAINE WASHBISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDP
Contact information
Practice address
904 S 3RD ST, MOUNT VERNON, WA 98273-4324
(360) 856-6300
(564) 209-7048
Mailing address
904 S 3RD ST, MOUNT VERNON, WA 98273-4324
(360) 856-6300
(504) 209-7048
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60708363
WA
175T00000X
Peer Specialist
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2265964
—
WA
Enumeration date
04/10/2013
Last updated
02/20/2024
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