Individual provider · Type 1 NPI
Alicia Jackson, M.A., C.M.H.S.
Counselor · Longview, WA
NPI number
1659622975
Active
Practice location
720 14th Ave.
Longview, WA 98632
Fax (360) 423-5086
Mailing address
921 14th Avenue
Longview, WA 98632
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 60926696 (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.
2 other providers at this address
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- Keri N. McHattie, BS, R-AACCounselor Longview, WA NPI 1023905783
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About NPI 1659622975
Alicia Jackson, M.A., C.M.H.S.'s National Provider Identifier is 1659622975, issued on Sep 26, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Longview, WA. The record was last updated on Mar 6, 2019.