Kaitlin Josephine Jackson

NPI #1063160950 in Bellevue, Washington

Provider Information

NPI Number: 1063160950
Entity Type: Individual
Name: Kaitlin Josephine Jackson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Mar 10, 2022
Last Updated: Mar 10, 2022

Practice Location

Address: 3805 108TH AVE NE STE 204
City: Bellevue
State: Washington
ZIP Code: 98004-7613
Phone: (425) 242-1713

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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