Individual provider · Type 1 NPI

Russell Bernard Jackson Jr., MSW, CLINICIAN 2

Counselor · Everett, WA

NPI number 1629707724 Active

Practice location

4526 Federal Ave
Everett, WA 98203-2132

Call (425) 349-6200 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XCG61323219 (WA)

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 1629707724

Russell Bernard Jackson Jr., MSW, CLINICIAN 2's National Provider Identifier is 1629707724, issued on Jun 6, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Everett, WA. The record was last updated on Jun 8, 2022.