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Russell Bernard Jackson JR., MSW,CLINICIAN2
Counselor in Everett, Washington
NPI 1629707724

Russell Bernard Jackson JR. is a Counselor based in Everett, WA. Russell Bernard Jackson JR. practices in Everett, WA and has the professional credentials of MSW,CLINICIAN2. The NPI Number for Russell Bernard Jackson JR. is 1629707724 and holds a License No. CG61323219 (Washington).

The current practice location address for Russell Bernard Jackson JR. is 4526 Federal Ave, Everett, WA and can be reached out via phone at 425-349-6200.

Location: 4526 Federal Ave, Everett, WA, 98203-2132
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629707724
Provider Name
Russell Bernard Jackson JR.
Credential
MSW,CLINICIAN2
Provider Entity Type
Individual
Gender
Male
Address
4526 Federal Ave, Everett, WA, 98203-2132
Phone Number
425-349-6200
Fax Number
Provider Enumeration Date
06/06/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4526 Federal Ave
City
Everett
State
Washington
Zip
98203-2132
Phone Number
425-349-6200
Fax Number
person
Provider Business Mailing Address Details
Address
4526 Federal Ave
City
Everett
State
Washington
Zip
98203-2132
Phone Number
425-349-6200
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
CG61323219 (Washington)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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