Individual provider · Type 1 NPI

Jerry Michael Jackson, MSW, ACSW

Mental Health Counselor · Bellevue, WA

NPI number 1699887166 Active

Practice location

11016 NE 2nd Pl
Bellevue, WA 98004-5830

Call (425) 455-0348 Map

Fax (206) 367-0547

Mailing address

3723 NE 150th St
Lake Forest Park, WA 98155-7828

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLW00004286 (WA)

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1699887166

Jerry Michael Jackson, MSW, ACSW's National Provider Identifier is 1699887166, issued on Aug 31, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bellevue, WA. The record was last updated on Jul 8, 2007.