Individual provider · Type 1 NPI

Emily Nicole Jackson

Mental Health Counselor · Redmond, WA

NPI number 1366033268 Active

Practice location

16150 NE 85th St Ste 120
Redmond, WA 98052-3542

Call (425) 868-5777 Map

Mailing address

8709 161st Ave NE Apt 208
Redmond, WA 98052-6660

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XCO60912147 (WA)
Mental Health Counselor Primary 101YM0800XMC61006566 (WA)

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About NPI 1366033268

Emily Nicole Jackson's National Provider Identifier is 1366033268, issued on Feb 2, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Redmond, WA. The record was last updated on Feb 2, 2021.