Individual
MR. JAMES ALLEN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.W.
Contact information
Practice address
5209 POINT FOSDICK DR NW STE 205, GIG HARBOR, WA 98335
(253) 495-9311
Mailing address
5209 POINT FOSDICK DR NW STE 205, GIG HARBOR, WA 98335-1728
(253) 495-9311
(253) 697-3730
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
LW00004709
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LW00004709
WA STATE DEPARTMENT OF HEALTH
WA
Enumeration date
06/14/2011
Last updated
05/18/2019
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