Individual
JESSICA COURNEYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10116 36TH AVENUE CT SW, LAKEWOOD, WA 98499-4791
(800) 991-6071
Mailing address
9855 WASHINGTON ST, JOINT BASE LEWIS MCCHORD, WA 98433-1402
(910) 920-7708
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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