Individual provider · Type 1 NPI

Jerrold Jackson

Mental Health Counselor · Tukwila, WA

NPI number 1598021081 Active

Practice location

10216 Beacon Ave S
Tukwila, WA 98178-2039

Call (425) 761-9469 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor Primary 101YM0800XLH61262872 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1598021081

Jerrold Jackson's National Provider Identifier is 1598021081, issued on Apr 9, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tukwila, WA. The record was last updated on Sep 30, 2024.