Brandi G King-Jackson

NPI #1023541703 in Dallas, Oregon

Provider Information

NPI Number: 1023541703
Entity Type: Individual
Name: Brandi G King-Jackson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Enumeration Date: Apr 10, 2017
Last Updated: May 15, 2023

Practice Location

Address: 182 SW ACADEMY ST
City: Dallas
State: Oregon
ZIP Code: 97338-1996
Phone: (503) 623-9289

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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