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Individual

MR. CHRISTOPHER L JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, LMHC

Contact information

Practice address
1239 120TH AVE NE STE C, BELLEVUE, WA 98005-2133
(425) 462-2776
(425) 462-2860
Mailing address
1239 120TH AVE NE STE C, BELLEVUE, WA 98005-2133
(425) 462-2776
(425) 462-2860

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60087701
WA

Other

Enumeration date
02/24/2010
Last updated
02/24/2010
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