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Individual

JORDAN SKALISKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
711 STATE AVE NE, OLYMPIA, WA 98506-3984
(360) 943-0780
(360) 943-0785
Mailing address
5010 KENRICK ST SE, LACEY, WA 98503-7303
(206) 678-9895

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY61337933
WA
103TC0700X
Clinical Psychologist
Primary
PY61337933
WA

Other

Enumeration date
08/26/2019
Last updated
04/02/2026
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