MRS. Jetta Beacon
NPI #1518472091 in Lacey, Washington
Provider Information
- NPI Number
- 1518472091
- Entity Type
- Individual
- Name
- MRS. Jetta Beacon
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor
- Enumeration Date
- Dec 6, 2017
- Last Updated
- Jan 19, 2026
Practice Location
- Address
- 1110 GOLF CLUB RD SE STE 101
- City
- Lacey
- State
- Washington
- ZIP Code
- 98503-2302
- Phone
- (360) 359-6870
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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