Individual
MS. CASSANDRA E JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M ED, LMHC
Contact information
Practice address
1600 E OLIVE ST, SEATTLE MENTAL HEALTH, SEATTLE, WA 98122-2735
(206) 302-2200
(206) 302-2210
Mailing address
1600 E OLIVE ST, SEATTLE, WA 98122-2735
(206) 302-2200
(206) 302-2210
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LH00006268
WA
101YM0800X
Mental Health Counselor
Primary
LH00006268
WA
Other
Enumeration date
01/24/2007
Last updated
02/09/2017
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