Individual
JESSICA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 W CASCADE WAY STE 103, SPOKANE, WA 99208-6000
(509) 413-2242
Mailing address
11407 N WALL ST, SPOKANE, WA 99218-2690
(509) 800-7688
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
WA
106H00000X
Marriage & Family Therapist
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/17/2020
Last updated
03/01/2023
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