Individual
JESSICA PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1116 SUMMIT AVE, SEATTLE, WA 98101-2831
(206) 322-7676
Mailing address
1116 SUMMIT AVE, SEATTLE, WA 98101-2831
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201420182022
—
WA
Enumeration date
09/02/2022
Last updated
09/02/2022
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