Minckley, Jessica L

Minckley, Jessica L is an individual health care provider with primary practice located at 536 Ne 97Th St , Seattle WA 98115-2126. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist is her primary health care specialty. Minckley, Jessica L can be contacted via phone (503) 926-0081.

Contact Information

Primary practice address
536 Ne 97Th St Seattle WA 98115-2126
Phone: (503) 926-0081
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MC61327714 Washington
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist 221700000X ATRP22455

Profile Details

NPI number 1790401339
LBN Legal business name Minckley, Jessica L
Credentials LMHC, ATR-P
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2022
Last updated Dec 8th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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