Individual
MELISSA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 ROCKEFELLER AVE # MS 305, EVERETT, WA 98201-4071
(425) 212-4200
Mailing address
3000 ROCKEFELLER AVE # MS 305, EVERETT, WA 98201-4071
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
WA
101YP2500X
Professional Counselor
Primary
LH60855674
WA
Other
Enumeration date
06/03/2014
Last updated
01/02/2026
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