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CORYNNE M JACKSON
NPI 1225549850
Counselor - Mental Health in Vancouver, WA

Active since October 23, 2017
1014 MAIN ST, VANCOUVER, WA 98660(360) 695-1014(360) 750-1374 Get Directions Write a Review

NPPES record last updated: October 23, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Corynne M Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORYNNE M JACKSON (NPI 1225549850) is an individual mental health provider in Vancouver, Washington, licensed in Washington (CG60803098) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1225549850
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCORYNNE M JACKSON
Location Address1014 MAIN STVancouver, WA 98660-3151
Mailing Address1014 Main StVancouver, WA 98660-3151 · (360) 695-1014 · Fax (360) 750-1374
Phone(360) 695-1014
Fax(360) 750-1374
Sole ProprietorYes
Enumeration DateOctober 23, 2017
✔ NPI 1225549850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · CG60803098
1014 MAIN ST, Vancouver, WA 98660
Open in Google Maps ↗

Other Identifiers 1

OtherCG60803098WA · Doh

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRACI DOWNER
Counselor (Mental Health)
1014 MAIN ST
VANCOUVER, WA 98660
Clark County (360) 695-1014
CAITLIN WALTHER
Counselor (Mental Health)
1014 MAIN ST
VANCOUVER, WA 98660
Clark County (360) 695-1014
ASHLEY N STROH
Counselor (Mental Health)
1014 MAIN ST
VANCOUVER, WA 98660
Clark County (360) 695-1014
ALEXA EDWARDS
Counselor (Mental Health)
1014 MAIN ST
VANCOUVER, WA 98660
Clark County (360) 695-1014
STEPHANIE AMATO
Counselor (Mental Health)
1014 MAIN ST
VANCOUVER, WA 98660
Clark County (360) 695-1014
PAIGE GEHRKE
Counselor
1014 MAIN ST
VANCOUVER, WA 98660
Clark County (360) 695-1014
ANDEE GLEASON
Counselor (Mental Health)
1014 MAIN ST
VANCOUVER, WA 98660
Clark County (360) 695-1014
TAMMY BEDLION
Counselor
1014 MAIN ST
VANCOUVER, WA 98660
Clark County (360) 695-1014

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Corynne Jackson's NPI number?

The NPI number for Corynne Jackson is 1225549850. It was assigned to this individual provider in the NPPES registry on October 23, 2017.

Where is Corynne Jackson located?

Corynne Jackson practices at 1014 Main St, Vancouver, WA 98660. The listed phone number is (360) 695-1014.

What is Corynne Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Corynne Jackson was last updated on October 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.