Individual
CHELSEI GENE JACKSON-DAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDPT
Contact information
Practice address
5351 MEEKER DRIVE, KALAMA, WA 98625
(360) 355-4954
Mailing address
PO BOX 426, KALAMA, WA 98625-0500
(360) 355-4954
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60927102
STATE OF WASHINGTON DEPARTMENT OF HEALTH
WA
Enumeration date
02/19/2019
Last updated
02/19/2019
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