Gina Marie Jackson, CMA
Counselor, Mental Health in Lakewood, WA. Individual provider (NPI-1).
NPI number1861998155
StatusActive
Last updated in NPPESApr 4, 2018
Details
- NPI
- 1861998155
- Entity type
- Individual (NPI-1)
- Name
- Gina Marie Jackson
- Credential
- CMA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 4, 2018
- Last updated
- Apr 4, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | WA | Yes |
Other names
- Gina Marie Tellef (Former Name)
Practice location
9330 59th Ave SwLakewood, WA 98499-2858
Phone 253-620-5015
Mailing address
9330 59th Ave SwLakewood, WA 98499-2858
Phone 253-620-5015
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All 679 Mental Health Counselor providers in Lakewood · All 3,440 providers in Lakewood
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