Individual provider · Type 1 NPI

Lisa Marie Jackson

Professional Counselor · Federal Way, WA

NPI number 1497436349 Active

Practice location

33455 6th Ave S # 2C
Federal Way, WA 98003-6074

Call (253) 210-4230 Map

Mailing address

11723 SE 157th St
Renton, WA 98058-4636

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XMHCA.MC.61464859 (WA)
Professional Counselor Primary 101YP2500XNone listed

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About NPI 1497436349

Lisa Marie Jackson's National Provider Identifier is 1497436349, issued on Jul 25, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Federal Way, WA. The record was last updated on Mar 21, 2025.