Individual provider · Type 1 NPI

Gina Marie Jackson, CMA

Mental Health Counselor · Lakewood, WA

NPI number 1861998155 Active

Practice location

9330 59th Ave SW
Lakewood, WA 98499-2858

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1861998155

Gina Marie Jackson, CMA's National Provider Identifier is 1861998155, issued on Apr 4, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lakewood, WA. The record was last updated on Apr 4, 2018.