Individual
JESSICA SKELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC-II, QMHA-I, CRM
Contact information
Practice address
1 SERENITY LN, COBURG, OR 97408-9350
(541) 250-6453
Mailing address
1 SERENITY LN, COBURG, OR 97408-9350
(541) 284-5681
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21-01-10023
OR
Other
Enumeration date
03/19/2021
Last updated
02/12/2026
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