Individual
CARLA R JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2212 S JACKSON ST, SEATTLE, WA 98144-2591
(206) 322-2387
Mailing address
2326 70TH AVE W, UNIVERSITY PLACE, WA 98466-7661
(253) 239-8277
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
01/15/2026
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