Individual
JESSICA L MINCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, ATR-P
Contact information
Practice address
536 NE 97TH ST, SEATTLE, WA 98115-2126
(503) 926-0081
Mailing address
536 NE 97TH ST, SEATTLE, WA 98115-2126
(503) 926-0081
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MC61327714
WA
221700000X
Art Therapist
Primary
ATRP22455
—
Other
Enumeration date
10/14/2022
Last updated
12/08/2023
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