Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JERRY MICHAEL JACKSON, MSW, ACSW
Active Sole ProprietorMental Health Counselor · BELLEVUE, WA
Registration Details
- NPI Number
- 1699887166
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 31, 2006 (19.641369249799 yrs)
- Last Updated
- Jul 8, 2007
- License
-
LW00004286 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11016 NE 2ND PLBELLEVUE, WA, 980045830Browse WA providers · Browse ZIP 98004
- Phone
- 4254550348
- Fax
- 2063670547
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in BELLEVUE, WA
| Name | Credential | NPI |
|---|---|---|
| JAN BENNETT | LMHC | 1215997556 |
| TERRY HAND | MSW | 1174539332 |
| LILY WOLFF-KNUFFKE | LMHC | 1831105402 |
| MR. WILLIAM E BEDELL | RMHC | 1346253911 |
| MS. REBECCA LYNN BAUDINO | LMHC | 1730295882 |
| MRS. LORI ANN DUNCAN | LMHC | 1114034964 |
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.