Stacy Jackson

NPI 1982898227 · on the registry since 2007 · sole proprietor

Practice

Address: 6817 Greenwood Ave. N.
Seattle, WA 98103
Phone: (725) 351-0871
Organisation at this address: Phinney Massage Llc
Ed Rankin, Licsw, Inc.
New Leaves Psychotherapy, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: Specialist
174400000X
Licence states on file: WA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-12-18

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