Carol E. Jackson

Peer Specialist · Colville, WA

Individual Active NPI

NPI number 1346097391

Practice location

165 E Hawthorne Ave
Colville, WA 99114-2629
Phone
(509) 684-4597

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NPI record

NPI
1346097391
Entity type
Individual (Type 1)
Enumeration date
May 6, 2024
Last updated
July 2, 2024
Certified
July 2, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Peer Specialist Primary 175T00000X CG61581853 WA
Counselor 101Y00000X — —

About Carol Jackson

Carol E. Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 165 E Hawthorne Ave, Colville, WA 99114-2629. The NPI number 1346097391 was assigned on May 6, 2024 and the record was last updated on July 2, 2024.

Carol Jackson lists a license in the registry: #CG61581853 (WA) for Peer Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Carol E. Jackson?

The NPI number is 1346097391.

What is the phone number of Carol Jackson?

The phone number listed for the practice location is (509) 684-4597.

Where is Carol Jackson located?

165 E Hawthorne Ave, Colville, WA 99114-2629.

What is the taxonomy code for Carol Jackson?

The primary taxonomy code is 175T00000X – Peer Specialist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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