Individual
BRUCE E JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
6625 WAGNER WAY STE 320, GIG HARBOR, WA 98335-8392
(253) 858-7056
(253) 858-8028
Mailing address
6625 WAGNER WAY STE 320, GIG HARBOR, WA 98335-8392
(253) 858-7056
(253) 858-8028
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH00011181
WA
Other
Enumeration date
01/23/2007
Last updated
04/13/2021
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