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

Russell Bernard Jackson Jr., MSW, CLINICIAN2

Individual provider Counselor · NPI 1629707724

Russell Bernard Jackson Jr., MSW, CLINICIAN2 is a Counselor in Everett, Washington. Licensed in Washington. Registered with an NPI since 2022.

Licensed in
WA
In the registry since
2022
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

4526 Federal Ave
Everett, WA 98203-2132
Phone: (425) 349-6200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence CG61323219 (WA)

Record details

NPI number1629707724
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , CLINICIAN2
Sole proprietorNo
NPI enumeratedJune 6, 2022
Last updated in NPPESJune 8, 2022
Certification dateJune 8, 2022

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