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

MR. CLARK KENT JACKSON, MSW

Active

MR. CLARK KENT JACKSON, MSW is a Clinical Social Worker healthcare provider located in YAKIMA, Washington. NPI 1962508192 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · YAKIMA, WA

Registration Details

NPI Number
1962508192
Provider Type
Individual
Gender
Male
NPI Issued
Sep 15, 2006 (19.871949096305 yrs)
Last Updated
Jul 8, 2007
License
LW6908 (WA)

Practice Information

Address
6 S 2ND ST
STE 918
YAKIMA, WA, 989012632
Browse WA providers · Browse ZIP 98901
Phone
5099618233
Fax
5099622286
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in YAKIMA, WA

Name Credential NPI
MR. DOUGLAS THEODORE GRAY LICSW 1285631317
KIMBERLY W HUSCH LICSW 1154386316
MS. ARACELIA SANCHEZ LICSW 1093767600
MRS. RENEE C SLAVEN MSW, LICSW 1457444952
KAREN EILEEN HILBERT LICSW 1013000959
MRS. JANET MARY ERICKSON MSW LSW 1740373265
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.