DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. ADAM JACKSON, LMFTA, SUDP

Active

MR. ADAM JACKSON, LMFTA, SUDP is a Marriage & Family Therapist healthcare provider located in INDIANOLA, Washington. NPI 1942734884 is currently active in the NPPES registry. Verify at CMS.

Marriage & Family Therapist · INDIANOLA, WA

Registration Details

NPI Number
1942734884
Provider Type
Individual
Gender
Male
NPI Issued
Apr 18, 2017 (9.2931486304567 yrs)
Last Updated
Feb 19, 2026
Licenses
CP60762987 (WA)
MG70044723 (WA)

Practice Information

Address
21324 SISTER SKY LN NE
INDIANOLA, WA, 983429706
Browse WA providers · Browse ZIP 98342
Phone
3605354535
Primary Specialty
Marriage & Family Therapist
106H00000X
Additional Specialty
Marriage & Family Therapist

Other Marriage & Family Therapist Providers in INDIANOLA, WA

Name Credential NPI
JANNA L DEARDORFF MS, MFT 1184140311
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.