| Jackie Wiseman, | |
|
615 5th St # 300, Brookings, OR 97415-9199 | |
| (877) 408-8941 | |
| Not Available |
| Full Name | Jackie Wiseman |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 615 5th St # 300, Brookings, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184486441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jackie Wiseman, Po Box 1121, Roseburg, OR 97470-0254 Ph: (541) 672-2691 | Jackie Wiseman, 615 5th St # 300, Brookings, OR 97415-9199 Ph: (877) 408-8941 |
Ms. Andrea Roberta Del Grande, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 210 Cove Rd, Brookings, OR 97415 Phone: 541-469-0222 Fax: 541-469-0228 | |
Tenea Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 5th St, Brookings, OR 97415 Phone: 541-469-9299 Fax: 541-247-6549 | |
Lance Salcido, Counselor Medicare: Not Enrolled in Medicare Practice Location: 210 Cove Rd, Brookings, OR 97415 Phone: 541-469-0222 Fax: 541-469-0228 | |
Jennifer Dawn Eichlin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 5th St, Brookings, OR 97415 Phone: 541-708-9581 | |
Sandie Louise Mccracken, CADC II, AAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 5th St # 300, Brookings, OR 97415 Phone: 877-408-8941 | |
Teresa Martin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 210 Cove Rd, Brookings, OR 97415 Phone: 541-469-0222 Fax: 541-469-0228 | |
Victoria Hanson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 210 Cove Rd, Brookings, OR 97415 Phone: 541-469-0222 Fax: 541-469-0228 |