Jacqueline Franco
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · La Conner, WA
NPI 1124473202 · NPPES record last updated Apr 26, 2016
Key facts
- NPI
- 1124473202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CO 60602685 (WA)
- Practice address
- 17337 Reservation Rd
La Conner, WA 98257-8802 - Phone
- (360) 466-1024
- NPI assigned
- Apr 26, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CO 60602685 | WA | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CO 60602685 | WA | Yes |
Addresses
Primary practice location
17337 Reservation Rd
La Conner, WA 98257-8802
Mailing address
17337 Reservation Rd
La Conner, WA 98257-8802
Phone (360) 466-1024
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CO 60602685 | Other | WA | STATE OF WASHINGTON |
Other providers in La Conner, WA
- Amelia Felton
- Fern Lane Company, LLC
- John K. Fischer
- Alette Ford
- Teodora Louise Rapp Foster
- Kelvin R Giles
- Jennifer Lynne Gilland
- Asiah Jeanmarie Gonzalez
- Steven Bruce Gooding
- Alexis Govan
All providers in La Conner, WA · Addiction (Substance Use Disorder) Counselor in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.