| Brandon Scott Backus Jackson, | |
|
2428 W Reynolds Ave, Centralia, WA 98531-4554 | |
| (360) 330-9044 | |
| Not Available |
| Full Name | Brandon Scott Backus Jackson |
|---|---|
| Gender | Male |
| Speciality | Counselor |
| Location | 2428 W Reynolds Ave, Centralia, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164952644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
| 101Y00000X | Counselor | CG61445547 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Scott Backus Jackson, 2428 W Reynolds Ave, Centralia, WA 98531-4554 Ph: (360) 330-9044 | Brandon Scott Backus Jackson, 2428 W Reynolds Ave, Centralia, WA 98531-4554 Ph: (360) 330-9044 |
Jennifer Orchard, CDPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 2428 W Reynolds Ave, Centralia, WA 98531 Phone: 360-330-9044 | |
Naomi Jean Hamilton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3510 Steelhammer Dr, Centralia, WA 98531 Phone: 360-330-9044 | |
Ms. Kari Ann Tjersland, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2428 W Reynolds Ave, Centralia, WA 98531 Phone: 360-330-9044 Fax: 360-736-3139 | |
Daniel Hilario Ortiz, AAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3510 Steelhammer Dr, Centralia, WA 98531 Phone: 360-623-8020 Fax: 360-623-1072 | |
Jessenia Celia-katalina Garcia, AAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3510 Steelhammer Dr, Centralia, WA 98531 Phone: 360-623-8020 Fax: 360-623-1072 | |
Gage Edward Lafferty, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3510 Steelhammer Dr, Centralia, WA 98531 Phone: 360-999-7602 | |
Brandy Michelle Peterson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 135 W. Main Steet, Centralia, WA 98531 Phone: 360-748-4339 |