LISA MARIE JACKSON

FEDERAL WAY, WA
NPI1497436349
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WA  MHCA.MC.61464859)
Enumeration Date2023-07-25
Last Update Date2023-07-25
Business Address
LISA MARIE JACKSON
33455 6TH AVE S # 2C
FEDERAL WAY, WA 98003-6074
Phone number: 253-210-4230
Mailing Address
LISA MARIE JACKSON
11723 SE 157TH ST
RENTON, WA 98058-4636
Phone number: 253-229-0660
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