Individual
JASMINE LEAH MISHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC I, QMHA II, CRM
Contact information
Practice address
548 SE JACKSON ST, ROSEBURG, OR 97470-4983
(541) 440-3532
(541) 440-3554
Mailing address
PO BOX 1121, ROSEBURG, OR 97470-0254
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/31/2021
Last updated
08/16/2023
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