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Search › Washington › 1041C0700X

Jelani Jackson, MSW, LICSW

NPI 1740532852 · on the registry since 2012 · sole proprietor

Practice

Address
419 S 2nd St
Renton, WA 98057
Phone
(425) 203-7203
Organisation at this address
Emma Nierman
Seattle Vamc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-11-15

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