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Emily Nicole Jackson
Mental Health Counselor in Redmond, Washington
NPI 1366033268

Emily Nicole Jackson is a Mental Health Counselor based in Redmond, WA and is specialized in Mental Health. Emily Nicole Jackson practices in Redmond, WA. The NPI Number for Emily Nicole Jackson is 1366033268 and holds a License No. CO60912147 (Washington).

The current practice location address for Emily Nicole Jackson is 16150 Ne 85Th St Ste 120, Redmond, WA and can be reached out via phone at 425-868-5777.

Location: 16150 Ne 85Th St Ste 120, Redmond, WA, 98052-6660
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366033268
Provider Name
Emily Nicole Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
16150 Ne 85Th St Ste 120, Redmond, WA, 98052-6660
Phone Number
425-868-5777
Fax Number
Provider Enumeration Date
02/02/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
16150 Ne 85Th St Ste 120
City
Redmond
State
Washington
Zip
98052-3542
Phone Number
425-868-5777
Fax Number
person
Provider Business Mailing Address Details
Address
16150 Ne 85Th St Ste 120
City
Redmond
State
Washington
Zip
98052-3542
Phone Number
425-868-5777
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
MC61006566 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
CO60912147 (Washington)
Definition
Definition to come...
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