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MRS. MIRANDA JAKSHA SUDP-T
NPI 1174355499
Counselor - Addiction (Substance Use Disorder) in Longview, WA

Active since August 15, 2024
900 FIR ST, LONGVIEW, WA 98632(360) 353-9422(360) 575-1950 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Miranda Jaksha Sudp-t NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MIRANDA JAKSHA SUDP-T (NPI 1174355499) is an individual addiction (substance use disorder) provider in Longview, Washington, licensed in Washington (61491028) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1174355499
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. MIRANDA JAKSHACredential: SUDP-T
Location Address900 FIR STLongview, WA 98632-2544
Mailing AddressPo Box 2429Longview, WA 98632-8486
Phone(360) 353-9422
Fax(360) 575-1950
Sole ProprietorNo
Enumeration DateAugust 15, 2024
NPPES CertifiedAugust 15, 2024
✔ NPI 1174355499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · 61491028
900 FIR ST, Longview, WA 98632
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CASSIDY ROBERTS
Peer Specialist
900 FIR ST
LONGVIEW, WA 98632
Cowlitz County (360) 353-9422
MRS. ANGELA NAILLON MA
Marriage & Family Therapist
900 FIR ST
LONGVIEW, WA 98632
Cowlitz County (360) 353-9422
HEATHER MARIE KRAFT CG 61090134
Peer Specialist
900 FIR ST
LONGVIEW, WA 98632
Cowlitz County (360) 575-3316
JESSE CHO
Nurse Practitioner (Psychiatric/Mental Health)
900 FIR ST
LONGVIEW, WA 98632
Cowlitz County (949) 878-8315
KYLEE BROOK LANCASTER SUDP-T
Counselor (Addiction (Substance Use Disorder))
900 FIR ST
LONGVIEW, WA 98632
Cowlitz County (360) 353-9422
TYLER WILLIAM STOCKTON CDPT
Counselor (Addiction (Substance Use Disorder))
900 FIR ST
LONGVIEW, WA 98632
Cowlitz County (360) 575-3316
MRS. ANGELA LYNN MITCHELL SUDP, LICSWA
Counselor (Addiction (Substance Use Disorder))
900 FIR ST
LONGVIEW, WA 98632
Cowlitz County (360) 575-3316
LAURI RAE RIGBY CP60836353
Counselor (Addiction (Substance Use Disorder))
900 FIR ST
LONGVIEW, WA 98632
Cowlitz County (360) 575-3316

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miranda Jaksha's NPI number?

The NPI number for Miranda Jaksha is 1174355499. It was assigned to this individual provider in the NPPES registry on August 15, 2024.

Where is Miranda Jaksha located?

Miranda Jaksha practices at 900 Fir St, Longview, WA 98632. The listed phone number is (360) 353-9422.

What is Miranda Jaksha's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Miranda Jaksha was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.