KEITH ELLIS JACKSON

VANCOUVER, WA
NPI1881289338
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: WA  LF61192417)
Enumeration Date2021-03-06
Last Update Date2022-10-26
Business Address
KEITH ELLIS JACKSON LMFT
7600 NE 41ST ST STE 200
VANCOUVER, WA 98662-6772
Phone number: 360-852-8139
Mailing Address
KEITH ELLIS JACKSON LMFT
8600 NE 13TH PL
VANCOUVER, WA 98665-9534
Phone number: 360-852-8139
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