Individual provider · Type 1 NPI
Carla R. Jackson
Counselor · Seattle, WA
NPI number
1114799335
Active
Practice location
2212 S Jackson St
Seattle, WA 98144-2591
Mailing address
2326 70th Ave W
University Place, WA 98466-7661
Other practice locations
- 1305 Tacoma Ave S, Tacoma, WA 98402-1903 · (253) 381-5797
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1114799335
Carla R. Jackson's National Provider Identifier is 1114799335, issued on Oct 23, 2023. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Seattle, WA. The record was last updated on Jan 15, 2026.