Individual
JESSICA EGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 NE 109TH AVENUE, VANCOUVER, WA 98682
(360) 695-1014
Mailing address
3200 NE 109TH AVENUE, VANCOUVER, WA 98682
(360) 695-1014
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG61613884
WA
104100000X
Social Worker
Primary
SC70028483
WA
Other
Enumeration date
10/10/2023
Last updated
12/04/2025
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