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General NPI Number Information
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NPI Number | 1245065606
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Entity Type | Individual
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Provider Name | BRITTANY KASSANDRA JACKSON MA PPS APCC LMHCA
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Gender | Female
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Dates
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Enumeration Date | 09/05/2024
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 9208 NE HIGHWAY 99 # 107-45
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City | VANCOUVER
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State | WA
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Zip | 98665-8986
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Country | US
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Telephone | 503-567-8411
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Fax |
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Provider Business Mailing Address
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Address Line | 9208 NE HIGHWAY 99 # 107-45
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City | VANCOUVER
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State | WA
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Zip | 98665-8986
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MC61647117
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 17732
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 240164012
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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