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JERROLD JACKSON
Mental Health Counselor
NPI: 1598021081IndividualAccepts Medicare
Specialties, Licenses & Credentials
Counselor
Counselor
Code: 101Y00000X
Mental Health CounselorPrimary
Counselor — Mental Health
Code: 101YM0800X
LH61262872(WA)
CMS Specialties
PrimaryMENTAL HEALTH COUNSELOR
Education
OTHER
Class of 2014
Contact & Hours
- Address
- 10216 BEACON AVE S
TUKWILA, WA 98178 - Phone
- (425) 761-9469
Quick Facts
- NPI
- 1598021081
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 12
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