Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kaitlin Josephine Jackson

Individual provider Counselor · NPI 1063160950

Kaitlin Josephine Jackson is a Counselor in Bellevue, Washington. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

3805 108th Ave NE Ste 204
Bellevue, WA 98004-7613
Phone: (425) 242-1713
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1063160950
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 10, 2022
Last updated in NPPESMarch 10, 2022
Certification dateMarch 10, 2022
Mailing address3805 108th Ave Ne Ste 204, Bellevue, WA 98004-7613

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