Individual
JESSICA L MINCKLEY
Active
Individual
JESSICA L MINCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, ATR-BC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6161075
ID
101YM0800X
Mental Health Counselor
Primary
LH61457229
WA
101YM0800X
Mental Health Counselor
MC61327714
WA
221700000X
Art Therapist
22455
—
221700000X
Art Therapist
Primary
ATRP22455
—
Other
Enumeration date
10/14/2022
Last updated
07/13/2026
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