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Individual
JESSICA ANTHONY
Active
Individual
JESSICA ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LMHCA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG60436179
AGENCY AFFILIATED COUNSELOR REGISTRATION
WA
01
—
MC60461664
MENTAL HEALTH COUNSELOR ASSOCIATE LICENSE
WA
Enumeration date
05/06/2014
Last updated
05/06/2014
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