Alicia Jackson, M.A., C.M.H.S.

Counselor · Longview, WA

Individual Active NPI

NPI number 1659622975

Practice location

720 14TH Ave.
Longview, WA 98632
Phone
(360) 423-0203
Fax
(360) 423-5086

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NPI record

NPI
1659622975
Entity type
Individual (Type 1)
Enumeration date
September 26, 2012
Last updated
March 6, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Counselor Primary 101Y00000X 60926696 WA

Mailing address

921 14TH Avenue
Longview, WA 98632
Phone
(360) 423-0203
Fax
(360) 577-0269

About Alicia Jackson

Alicia Jackson, M.A., C.M.H.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 720 14TH Ave., Longview, WA 98632. The NPI number 1659622975 was assigned on September 26, 2012 and the record was last updated on March 6, 2019.

Alicia Jackson lists a license in the registry: #60926696 (WA) for Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Alicia Jackson, M.A., C.M.H.S.?

The NPI number is 1659622975.

What is the phone number of Alicia Jackson?

The phone number listed for the practice location is (360) 423-0203.

Where is Alicia Jackson located?

720 14TH Ave., Longview, WA 98632.

What is the taxonomy code for Alicia Jackson?

The primary taxonomy code is 101Y00000X – Counselor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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