Individual
JESSICA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(425) 349-6200
Mailing address
453 S ASH AVE, KUNA, ID 83634-2241
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LMSW37181
ID
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/13/2018
Last updated
11/27/2024
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