Jackson, James Allen

Jackson, James Allen is an sole proprietor health care provider with primary practice located at 5209 Point Fosdick Dr Nw Ste 205 , Gig Harbor WA 98335. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Jackson, James Allen can be contacted via phone (253) 495-9311.

Contact Information

Primary practice address
5209 Point Fosdick Dr Nw Ste 205 Gig Harbor WA 98335
Phone: (253) 495-9311
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X LW00004709 Washington

Profile Details

NPI number 1811282247
LBN Legal business name Jackson, James Allen
Credentials M.S.W.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2011
Last updated May 18th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811282247 NPPES
Washington Other LW00004709 WA STATE DEPARTMENT OF HEALTH

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