Individual provider · Type 1 NPI

Thomas D. Jackson

Peer Specialist · Lacey, WA

NPI number 1093473092 Active

Practice location

612 Woodland Square Loop SE Ste 401
Lacey, WA 98503-1070

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1093473092

Thomas D. Jackson's National Provider Identifier is 1093473092, issued on Dec 7, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Lacey, WA. The record was last updated on Dec 7, 2021.