SearchWashington101YM0800X

Jerry Jackson, MSW, ACSW

NPI 1699887166 · on the registry since 2006 · sole proprietor

Practice

Address
11016 Ne 2nd Pl
Bellevue, WA 98004
Phone
(425) 455-0348
Fax
(206) 367-0547
Clinicians at this address
3

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington