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DAVID JACKSON
NPI 1730723172
Counselor - Addiction (Substance Use Disorder) in Lakewood, WA

Active since October 29, 2019
9720 S TACOMA WAY, LAKEWOOD, WA 98499(253) 304-7753 Get Directions Write a Review

NPPES record last updated: October 29, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About David Jackson NPPES

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

DAVID JACKSON (NPI 1730723172) is an individual addiction (substance use disorder) provider in Lakewood, Washington and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1730723172
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameDAVID JACKSON
Location Address9720 S TACOMA WAYLakewood, WA 98499-4456
Mailing Address15 Oregon Ave Ste 308Tacoma, WA 98409-7462 · (253) 304-7753
Phone(253) 304-7753
Sole ProprietorNo
Enumeration DateOctober 29, 2019
✔ NPI 1730723172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
9720 S TACOMA WAY, Lakewood, WA 98499
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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.

FELICIA BLANKEN
Licensed Practical Nurse
9720 S TACOMA WAY
LAKEWOOD, WA 98499
Pierce County (253) 503-3666
AMANDA BARRIER
Licensed Practical Nurse
9720 S TACOMA WAY
LAKEWOOD, WA 98499
Pierce County (253) 503-3666
ANGELA BALLENSKY
Licensed Practical Nurse
9720 S TACOMA WAY
LAKEWOOD, WA 98499
Pierce County (253) 503-3666
ROCHELLE LORTZ
Counselor (Addiction (Substance Use Disorder))
9720 S TACOMA WAY
LAKEWOOD, WA 98499
Pierce County (253) 503-3666
ROBERT MICHAEL MATTA
Licensed Practical Nurse
9720 S TACOMA WAY
LAKEWOOD, WA 98499
Pierce County (253) 604-7422
IMAGINE BEHAVIORAL AND DEVELOPMENTAL SERVICES
Behavior Analyst
9720 S TACOMA WAY
TACOMA, WA 98499
Pierce County (253) 682-0320
ADRIENNE DEMLER
Licensed Practical Nurse
9720 S TACOMA WAY
LAKEWOOD, WA 98499
Pierce County (253) 503-3666
ALICE MARIE PARK
Registered Nurse
9720 S TACOMA WAY
LAKEWOOD, WA 98499
Pierce County (253) 503-3666

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 David Jackson's NPI number?

The NPI number for David Jackson is 1730723172. It was assigned to this individual provider in the NPPES registry on October 29, 2019.

Where is David Jackson located?

David Jackson practices at 9720 S Tacoma Way, Lakewood, WA 98499. The listed phone number is (253) 304-7753.

What is David Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for David Jackson was last updated on October 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.