DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LISA MARIE JACKSON

Active Sole Proprietor

LISA MARIE JACKSON is a Professional Counselor healthcare provider located in FEDERAL WAY, Washington. NPI 1497436349 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · FEDERAL WAY, WA

Registration Details

NPI Number
1497436349
Provider Type
Individual
Gender
Female
NPI Issued
Jul 25, 2023 (3.0207605635716 yrs)
Last Updated
Mar 21, 2025
License
MHCA.MC.61464859 (WA)
Sole Proprietor
Yes

Practice Information

Address
33455 6TH AVE S # 2C
FEDERAL WAY, WA, 980036074
Browse WA providers · Browse ZIP 98003
Phone
2532104230
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in FEDERAL WAY, WA

Name Credential NPI
MR. PAUL L CROFT LMHC 1598841512
DR. MISTY GIBSON PHD, LMHC, LCPC, LPC 1396116729
AMELIA MCCORMICK 1235660671
PAMELIA MICHELLE WILLIAMS BA, CDP 1871023390
MEGAN CORRINE RIZZO LPC 1376126714
MELISSA LYNN PEDERSON MSW 1194609511
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.