Jackson, Lisa Marie

Jackson, Lisa Marie is an sole proprietor health care provider with primary practice located at 33455 6Th Ave S # 2C , Federal Way WA 98003-6074. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Jackson, Lisa Marie can be contacted via phone (253) 210-4230.

Contact Information

Primary practice address
33455 6Th Ave S # 2C Federal Way WA 98003-6074
Phone: (253) 210-4230
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MHCA.MC.61464859 Washington
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1497436349
LBN Legal business name Jackson, Lisa Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2023
Last updated Mar 21st, 2025 - about last year

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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