Individual
DR. ERIK R JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
818 12TH AVE, SEATTLE, WA 98122-4410
(206) 329-5255
(206) 726-1878
Mailing address
1421 15TH AVE APT 204, SEATTLE, WA 98122-4169
(206) 329-5255
(206) 726-1878
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00003518
WA
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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