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Carol Jackson — NPI 1346097391, Colville, WA | NPI Central

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NPI 1346097391

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Carol Jackson

NPI 1346097391 · Peer Specialist · Colville, WA

Provider details

NPI number: 1346097391
Entity type: Individual
Primary specialty: Peer SpecialistOther Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Peer SpecialistPrimary175T00000XLicense CG61581853 (WA)
Other Service Providers
Counselor101Y00000X
Behavioral Health & Social Service Providers

Practice location

165 E Hawthorne Ave

Colville, WA 99114-2629

Phone: (509) 684-4597

Approximate (ZIP-level) locationGet directions

More WA providers

Mailing address

165 E Hawthorne Ave

Colville, WA 99114-2629

Registry dates

Enumerated: 2024-05-06
Last updated: 2024-07-02
Certified: 2024-07-02

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.