Search › Washington › Addiction (Substance Use Disorder) Counselor
Miranda Jaksha, SUDP-T
NPI 1174355499 · on the registry since 2024
Practice
- Address
- 900 Fir St
Longview, WA 98632 - Phone
- (360) 353-9422
- Fax
- (360) 575-1950
- Organisation at this address
- Cowlitz Indian Tribe
Cowlitz Indian Tribe
Mountain Smiles - Longview Dental, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 19
Registry record
- Primary taxonomy
- Addiction (Substance Use Disorder) Counselor
101YA0400X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-08-15
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