True Roots Behavioral Health
Counselor, Addiction (Substance Use Disorder) in Spokane, WA. Organization (NPI-2).
NPI number1124961990
StatusActive
Last updated in NPPESApr 14, 2026
Details
- NPI
- 1124961990
- Entity type
- Organization (NPI-2)
- Legal business name
- True Roots Behavioral Health
- Organization subpart
- No
- Enumeration date
- Apr 14, 2026
- Certification date
- Apr 8, 2026
- Last updated
- Apr 14, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
| 101YP2500X | Counselor, Professional | – | – | |
| 106S00000X | Behavior Technician | – | – | |
| 171M00000X | Case Manager/Care Coordinator | – | – | |
| 175T00000X | Peer Specialist | – | – |
Practice location
100 N Howard St Ste RSpokane, WA 99201-0508
Phone 206-567-8990
Mailing address
100 N Howard St Ste RSpokane, WA 99201-0508
Phone 206-567-8990
Authorized official
Candyce Jackson
Substance Use Disorder Professional
9512398784
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