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RUSSELL BERNARD JACKSON JR. MSW, CLINICIAN 2
NPI 1629707724
Counselor in Everett, WA

Active since June 06, 2022
4526 FEDERAL AVE, EVERETT, WA 98203(425) 349-6200 Get Directions Write a Review

NPPES record last updated: June 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Russell Bernard Jackson Jr. Msw, Clinician 2 NPPES

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

RUSSELL BERNARD JACKSON JR. MSW, CLINICIAN 2 (NPI 1629707724) is an individual counselor in Everett, Washington, licensed in Washington (CG61323219) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1629707724
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameRUSSELL BERNARD JACKSON JR.Credential: MSW, CLINICIAN 2
Location Address4526 FEDERAL AVEEverett, WA 98203-2132
Mailing Address4526 Federal AveEverett, WA 98203-2132 · (425) 349-6200
Phone(425) 349-6200
Sole ProprietorNo
Enumeration DateJune 6, 2022
Last NPPES UpdateJune 8, 2022
NPPES CertifiedJune 8, 2022
✔ NPI 1629707724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in WA · CG61323219
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
4526 FEDERAL AVE, Everett, WA 98203
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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.

MELISSA ANNE TONER MHT3,AAC-R
Counselor
4526 FEDERAL AVE
EVERETT, WA 98203
Snohomish County (425) 349-6200
RAINE NOEL LOYLES
Counselor
4526 FEDERAL AVE
EVERETT, WA 98203
Snohomish County (425) 349-6200
JESSICA MARIE TOKARCHUK MA, AAC
Counselor (Mental Health)
4526 FEDERAL AVE
EVERETT, WA 98203
Snohomish County (425) 349-6200
SHANNON LEE SWEET
Behavior Technician
4526 FEDERAL AVE
EVERETT, WA 98203
Snohomish County (425) 349-6200
JESSICA RAMSEY
Behavior Technician
4526 FEDERAL AVE
EVERETT, WA 98203
Snohomish County (425) 349-6200
MELANIE FAYE STAVIG AA, LPN
Licensed Practical Nurse
4526 FEDERAL AVE
EVERETT, WA 98203
Snohomish County (425) 349-6200
MISS AUDREY ROSLEYNE AKINYI OWUOR
Counselor
4526 FEDERAL AVE
EVERETT, WA 98203
Snohomish County (425) 349-6200
JUETONG ZHU
Counselor
4526 FEDERAL AVE
EVERETT, WA 98203
Snohomish County (425) 349-6200

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 Russell Jackson's NPI number?

The NPI number for Russell Jackson is 1629707724. It was assigned to this individual provider in the NPPES registry on June 6, 2022.

Where is Russell Jackson located?

Russell Jackson practices at 4526 Federal Ave, Everett, WA 98203. The listed phone number is (425) 349-6200.

What is Russell Jackson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Russell Jackson was last updated on June 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.