William Chance Jackson
William Chance Jackson is a Student in an Organized Health Care Education/Training Program in Everett, Washington. Licensed in Washington. Registered with an NPI since 2023.
- Licensed in
- WA
- In the registry since
- 2023
Practice location Address checks out
4526 Federal AveEverett, WA 98203-2132
Phone: (425) 349-6200
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (WA) |
|---|
Record details
| NPI number | 1164106415 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 14, 2023 |
| Last updated in NPPES | June 14, 2023 |
| Certification date | June 12, 2023 |
| Mailing address | 4526 Federal Ave, Everett, WA 98203-2132 |
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Anjali D'Souza Janders, MA, LMHCA, MHP
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