Individual
JESSICA WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 VERA LN, KENNEDALE, TX 76060-6002
(682) 333-3521
Mailing address
1200 VERA LN, KENNEDALE, TX 76060-6002
(682) 333-3521
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
261QP2300X
Primary Care Clinic/Center
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
376G00000X
Nursing Home Administrator
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
385HR2050X
Respite Care Camp
—
—
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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