Most Relevant Information
Provider Data
| NPI Number: | 1003207788 |
| Provider Name: | JESSICA HINCKLEY |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | CO60372883 |
Most Important Dates
| Enumeration Date: | 02/17/2015 |
| Last Updated: | 02/17/2015 |
Provider Practice Location
17018 15TTH AVE NE
SHORELINE
WA
98155
Practice Location Phone/Fax
| Phone: | 4253627282 |
| Fax: |
Provider Mailing Location
17018 15TTH AVE NE
SHORELINE
WA
98155
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |