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Alicia Jackson, MA,CMHS
Counselor in Longview, Washington
NPI 1659622975

Alicia Jackson is a Counselor based in Longview, WA. Alicia Jackson practices in Longview, WA and has the professional credentials of MA,CMHS. The NPI Number for Alicia Jackson is 1659622975 and holds a License No. 60926696 (Washington).

The current practice location address for Alicia Jackson is 720 14Th Ave., Longview, WA and can be reached out via phone at 360-423-0203 and via fax at 360-423-5086. You can also correspond with Alicia Jackson through the mailing address at 921 14TH AVENUE, LONGVIEW, WA - 98632 (mailing address contact number: 360-423-0203).

Location: 720 14Th Ave., Longview, WA, 98632
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659622975
Provider Name
Alicia Jackson
Credential
MA,CMHS
Provider Entity Type
Individual
Gender
Female
Address
720 14Th Ave., Longview, WA, 98632
Phone Number
360-423-0203
Fax Number
360-423-5086
Provider Enumeration Date
09/26/2012
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
2097719 05 WA
institution
Provider Business Practice Location Address Details
Address
720 14Th Ave.
City
Longview
State
Washington
Zip
98632
Phone Number
360-423-0203
Fax Number
360-423-5086
person
Provider Business Mailing Address Details
Address
921 14Th Avenue
City
Longview
State
Washington
Zip
98632
Phone Number
360-423-0203
Fax Number
360-577-0269
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
60926696 (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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