Individual
JESSICA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1100 S 2ND ST, MOUNT VERNON, WA 98273-4209
(360) 349-6200
Mailing address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(425) 349-6200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CG60343193
WA
106H00000X
Marriage & Family Therapist
Primary
LF60460104
WA
Other
Enumeration date
03/20/2013
Last updated
12/08/2023
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