NPI 1003244948

Jessica Kicha, MA

Practitioner Counselor Bellevue, WA

Practice location

Address: 1400 112th Ave SE Suite 100, Bellevue, WA 98004-6901
Phone: (425) 243-4722
Mailing address: 906 W. 2nd Ave., STE 100 Northwest Registered Agent, LLC., Spokane, WA 99201-7684

Registered specialties

Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101Y00000X Licence MC60338137 (WA)

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Registry record

NPI: 1003244948
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Oct 2013
Record last updated: 13 Oct 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.