CORYNNE M JACKSON

VANCOUVER, WA
NPI1225549850
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WA  CG60803098)
Enumeration Date2017-10-23
Last Update Date2017-10-23
Business Address
CORYNNE M JACKSON
1014 MAIN ST
VANCOUVER, WA 98660-3151
Phone number: 360-695-1014
Mailing Address
CORYNNE M JACKSON
1014 MAIN ST
VANCOUVER, WA 98660-3151
Phone number: 360-695-1014
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