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

JERROLD JACKSON

Active

JERROLD JACKSON is a Mental Health Counselor healthcare provider located in TUKWILA, Washington. NPI 1598021081 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · TUKWILA, WA

Registration Details

NPI Number
1598021081
Provider Type
Individual
Gender
Male
NPI Issued
Apr 9, 2012 (14.168905871191 yrs)
Last Updated
Sep 30, 2024
License
LH61262872 (WA)

Practice Information

Address
10216 BEACON AVE S
TUKWILA, WA, 981782039
Browse WA providers · Browse ZIP 98178
Phone
4257619469
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Mental Health Counselor

Other Mental Health Counselor Providers in TUKWILA, WA

Name Credential NPI
MS. ERIN CARRUTH M.A., L.M.H.C. 1063454809
DENNIS MATTHEW MARCERON MA, CDP, LMHC 1558423749
MISS AMY RENEE LUTHER MA, MHP, LMHC 1629131420
MR. JONATHAN DAVID MONROE M.S. 1982768156
MS. MARY ELIZABETH KANNEGAARD MS, LMHC 1942357694
MICHAEL CLAUDE KILBOURNE MA, LMHC 1073662045
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.