Individual
JESSICA GUY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5407 VILLAGE PARK DR SE, BELLEVUE, WA 98006-5591
(206) 251-0893
Mailing address
325 WASHINGTON AVE S # 176, KENT, WA 98032-5767
(206) 251-0893
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2062510893
—
WA
Enumeration date
12/19/2022
Last updated
12/19/2022
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