Provider Demographics
NPI:1013771146
Name:JACKSON, HELEN JULIE (LPC-A LMHCA)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:JULIE
Last Name:JACKSON
Suffix:
Gender:F
Credentials:LPC-A LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 MAGIC OAKS DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388-5972
Mailing Address - Country:US
Mailing Address - Phone:832-680-9045
Mailing Address - Fax:
Practice Address - Street 1:6505 216TH ST SW
Practice Address - Street 2:
Practice Address - City:MOUNTLAKE TERRACE
Practice Address - State:WA
Practice Address - Zip Code:98043-2089
Practice Address - Country:US
Practice Address - Phone:832-680-9045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-08
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX94255101YP2500X
WA61524952101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional