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Search › Washington › 101YA0400X

Mishelle Jackson, SUDPT

NPI 1053192377 · on the registry since 2023

Practice

Address
1505 Kla-Ook-Wa Dr
Taholah, WA 98587
Phone
(360) 276-8215
Organisation at this address
Quinault Indian Nation
Quinault Indian Nation
Quinault Indian Nation
Quinault Indian Nation
Quinault Chemical Depedency
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-10-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington