JERROLD JACKSON

TUKWILA, WA
NPI1598021081
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WA  LH61262872)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2012-04-09
Last Update Date2024-09-30
Business Address
JERROLD JACKSON
10216 BEACON AVE S
TUKWILA, WA 98178-2039
Phone number: 425-761-9469
Mailing Address
JERROLD JACKSON
10216 BEACON AVE S
TUKWILA, WA 98178-2039
Phone number:
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