MRS. JETTA BEACON

Counselor

Active Individual
NPI: 1518472091

Practice Address

1110 GOLF CLUB RD SE STE 101
Lacey, WA 98503

Phone: (360) 359-6870

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes -

Frequently Asked Questions

NPI 1518472091 is the National Provider Identifier for MRS. JETTA BEACON, a Counselor provider located in Lacey, WA. This NPI was enumerated on December 6, 2017.
MRS. JETTA BEACON practices at 1110 GOLF CLUB RD SE STE 101, Lacey, WA 98503.

Quick Facts

NPI
1518472091
Type
Individual
Enumerated
Dec 6, 2017
Last Updated
Jan 19, 2026

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