JERRY MICHAEL JACKSON

BELLEVUE, WA
NPI1699887166
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WA  LW00004286)
Enumeration Date2006-08-31
Last Update Date2007-07-08
Business Address
Mr. JERRY MICHAEL JACKSON MSW, ACSW
11016 NE 2ND PL
BELLEVUE, WA 98004-5830
Phone number: 425-455-0348
Mailing Address
Mr. JERRY MICHAEL JACKSON MSW, ACSW
3723 NE 150TH ST
LAKE FOREST PARK, WA 98155-7828
Phone number: 206-367-3351
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