Individual
DAVID ANDREW JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3200 NE 109TH AVE, VANCOUVER, WA 98682-7749
(360) 695-1014
Mailing address
3200 NE 109TH AVE, VANCOUVER, WA 98682-7749
(360) 695-1014
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CG60876736
WA
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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