| NPI | 1821952698 |
|---|---|
| Other Name | JACKIE JO TAUBERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IA 24078) |
| Enumeration Date | 2025-12-15 |
| Last Update Date | 2026-01-21 |