Individual ProviderJoseph Rashaad JacksonCounselorBehavioral Health & Social Service ProvidersPractice Address1700 Airport Way S, Seattle, WA 98134-1618(206) 223-6644PECOS EnrollmentBased on the most recent information from CMS, provider Joseph Rashaad Jackson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1033990650Provider TypeIndividualFull NameJackson, Joseph RashaadTitleMr.GenderMaleSole ProprietorNoEnumeration Date10/10/2023Last Updated10/10/2023Contact InformationPractice LocationPractice Address1700 Airport Way S, Seattle, WA 98134-1618Phone(206) 223-6644FaxUnlisted FaxMailing LocationMailing Address4750 15th Ave NE Apt 209, Seattle, WA 98105-4972PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101Y00000XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer