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Lisa Marie Jackson
Mental Health Counselor in Federal Way, Washington
NPI 1497436349

Lisa Marie Jackson is a Mental Health Counselor based in Renton, WA and is specialized in Mental Health. Lisa Marie Jackson practices in Federal Way, WA. The NPI Number for Lisa Marie Jackson is 1497436349 and holds a License No. MHCA.MC.61464859 (Washington).

The current practice location address for Lisa Marie Jackson is 33455 6Th Ave S # 2C, Federal Way, WA and can be reached out via phone at 253-210-4230.

Location: 33455 6Th Ave S # 2C, Federal Way, WA, 98058-4636
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497436349
Provider Name
Lisa Marie Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
33455 6Th Ave S # 2C, Federal Way, WA, 98058-4636
Phone Number
253-210-4230
Fax Number
Provider Enumeration Date
07/25/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
33455 6Th Ave S # 2C
City
Federal Way
State
Washington
Zip
98003-6074
Phone Number
253-210-4230
Fax Number
person
Provider Business Mailing Address Details
Address
33455 6Th Ave S # 2C
City
Federal Way
State
Washington
Zip
98003-6074
Phone Number
253-210-4230
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MHCA.MC.61464859 (Washington)
Definition
Definition to come...
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