Individual
JASMINE KAY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10604 NE HIGHWAY 99, VANCOUVER, WA 98686-5613
(360) 644-1631
Mailing address
10604 NE HIGHWAY 99, VANCOUVER, WA 98686-5613
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
WA
175T00000X
Peer Specialist
Primary
—
WA
Other
Enumeration date
02/13/2025
Last updated
10/03/2025
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