Individual provider · Type 1 NPI

Corynne M. Jackson

Mental Health Counselor · Vancouver, WA

NPI number 1225549850 Active

Practice location

1014 Main St
Vancouver, WA 98660-3151

Call (360) 695-1014 Map

Fax (360) 750-1374

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XCG60803098 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1225549850

Corynne M. Jackson's National Provider Identifier is 1225549850, issued on Oct 23, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vancouver, WA. The record was last updated on Oct 23, 2017.