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

Thomas D Jackson

Individual provider Peer Specialist · NPI 1093473092

Thomas D Jackson is a Peer Specialist in Lacey, Washington. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

612 Woodland Square Loop SE Ste 401
Lacey, WA 98503-1070
Phone: (360) 763-5828
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1093473092
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 7, 2021
Last updated in NPPESDecember 7, 2021
Certification dateDecember 7, 2021
Mailing address612 Woodland Square Loop Se Ste 401, Lacey, WA 98503-1070

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