| NPI | 1356785786 |
|---|---|
| Former Name | JESSICA CAROL RHODES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60249683) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 17113800) |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2025-07-03 |