Individual
JESSICA L FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10303 MERIDIAN AVE N STE 204, SEATTLE, WA 98133-9483
(425) 242-1713
Mailing address
15560 WESTMINSTER WAY N APT 414, SHORELINE, WA 98133-5935
(360) 632-5265
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
MHCA.MC.70008110
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/20/2024
Last updated
02/04/2026
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