JELANI LEIF JACKSON

RENTON, WA
NPI1740532852
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WA  LW 60607997)
Enumeration Date2012-10-12
Last Update Date2016-11-15
Business Address
Mr. JELANI LEIF JACKSON MSW, LICSW
419 S 2ND ST
RENTON, WA 98057
Phone number: 425-203-7203
Mailing Address
Mr. JELANI LEIF JACKSON MSW, LICSW
419 S 2ND ST STE 2
RENTON, WA 98057-2234
Phone number: 425-203-7203