Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ERICA SUSANNA JACKSON, SUDP/T
ActiveERICA SUSANNA JACKSON, SUDP/T is a Addiction (Substance Use Disorder) Counselor healthcare provider located in TAHOLAH, Washington. NPI 1558212605 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · TAHOLAH, WA
Registration Details
- NPI Number
- 1558212605
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 5, 2026 (0.50043343754617 yrs)
- Last Updated
- Feb 5, 2026
- License
-
CO61691434 (WA)
Practice Information
- Address
-
1505 KLA-OOK WA DRIVETAHOLAH, WA, 98587Browse WA providers · Browse ZIP 98587
- Phone
- 3602768211
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in TAHOLAH, WA
| Name | Credential | NPI |
|---|---|---|
| MR. DAVID A HAGEN | CHEMICAL DEPENDENCY | 1760628937 |
| MR. ROBERT J LAGERQUIST | CHEMICAL DEPENDENCY | 1699911875 |
| ERNIE V SANCHEZ | — | 1962771782 |
| MISHELLE JACKSON | SUDPT | 1053192377 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.