JACKSON LUCY

BELLEVUE, WA
NPI1427809987
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WA  MHCA.MC.70014123)
Enumeration Date2024-04-01
Last Update Date2025-10-13
Business Address
JACKSON LUCY
914 140TH AVE NE STE 201
BELLEVUE, WA 98005-3482
Phone number: 855-223-7123
Mailing Address
JACKSON LUCY
PO BOX 33568
SAN DIEGO, CA 92163-3568
Phone number: 855-223-7123
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