Individual
JESSICA MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5301 TIETON DR, YAKIMA, WA 98908-3479
(509) 965-7100
Mailing address
912 BING ST, GRANDVIEW, WA 98930-3004
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
104100000X
Social Worker
70049384
WA
Other
Enumeration date
05/01/2025
Last updated
12/04/2025
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