Jaden Laeauna Cisco
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Williamson, WV
NPI 1467378398 · NPPES record last updated Jun 25, 2026
Key facts
- NPI
- 1467378398
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 1609 W 3Rd Ave
Williamson, WV 25661-3006 - Phone
- (304) 443-4562
- NPI assigned
- Jun 25, 2026
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
1609 W 3Rd Ave
Williamson, WV 25661-3006
Mailing address
PO Box 613
Williamson, WV 25661-0613
Phone (304) 443-4562
Other providers in Williamson, WV
- Sue Chaffin
- Tonya L. Chafin
- Marilyn Chambers
- Sandra Chapman
- Kim Christian
- Ashley Paige Cline
- Cassidy Cline
- Heather Nicole Cline
- Vernetta Cline
- Coalfield Community Action Partners
All providers in Williamson, WV · Addiction (Substance Use Disorder) Counselor in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2026. 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.