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Individual
JACKIELYN T JONES
Active
Individual
JACKIELYN T JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHCA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP60640271
WA
101YM0800X
Mental Health Counselor
Primary
MC60947039
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090515
—
WA
Enumeration date
12/16/2018
Last updated
11/18/2024
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