Individual
DR. JESSICA MARIE CRONCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4225 ROOSEVELT WAY NE, SUITE 306, SEATTLE, WA 98105-6099
(206) 598-7792
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY60169967
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0303714
L&I
—
05
—
1700120417
—
WA
Enumeration date
11/19/2012
Last updated
05/16/2013
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