Individual
JESSICA MARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
811 MADISON ST, EVERETT, WA 98203-4543
(425) 212-4200
(425) 212-4241
Mailing address
P.O. BOX 2569, 811 MADISON, EVERETT, WA 98213
(425) 212-4200
(425) 212-4241
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/03/2015
Last updated
04/03/2015
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