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Alicia Jackson, M.A., C.M.H.S. — NPI 1659622975, Longview, WA | NPI Central

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NPI 1659622975

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Alicia Jackson, M.A., C.M.H.S.

NPI 1659622975 · Counselor · Longview, WA

Provider details

NPI number: 1659622975
Entity type: Individual
Primary specialty: CounselorBehavioral Health & Social Service Providers
Credential: M.A., C.M.H.S.
Sex: Female
Sole proprietor: No
License: 60926696 (WA)

Practice location

720 14th Ave.

Longview, WA 98632

Phone: (360) 423-0203

Fax: (360) 423-5086

More WA providers

Mailing address

921 14th Avenue

Longview, WA 98632

Registry dates

Enumerated: 2012-09-26
Last updated: 2019-03-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.