JACK SKILES
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1902130511
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | - |
Frequently Asked Questions
NPI 1902130511 is the National Provider Identifier for JACK SKILES, a Counselor - Addiction (Substance Use Disorder) provider located in Dallas, OR. This NPI was enumerated on September 29, 2009.
JACK SKILES practices at 182 S.W. ACADEMY ST., 304 ACADEMY BUILDING, Dallas, OR 97338.
Quick Facts
- NPI
- 1902130511
- Type
- Individual
- Enumerated
- Sep 29, 2009
- Last Updated
- Sep 29, 2009
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