Individual
MS. JESSICA KICHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1400 112TH AVE SE, SUITE 100, BELLEVUE, WA 98004-6901
(425) 243-4722
Mailing address
906 W. 2ND AVE., STE 100, NORTHWEST REGISTERED AGENT, LLC., SPOKANE, WA 99201-7684
(425) 786-6192
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MC60338137
WA
Other
Enumeration date
10/30/2013
Last updated
10/13/2015
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