Individual
JESSICA LOUISE MACLEOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFTA
Contact information
Practice address
1011 10TH AVE SE, OLYMPIA, WA 98501-1566
(360) 878-8248
Mailing address
1314 9TH AVE SE, OLYMPIA, WA 98501-1624
(909) 702-9635
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
MG61122353
WA
Other
Enumeration date
09/05/2019
Last updated
04/11/2021
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