| Doctor Name: | JESSICA HINCKLEY |
| NPI Number: | 1003207788 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | CO60372883 |
| Business Practice Address: | 17018 15tth Ave Ne Shoreline, WA - 98155 |
| Business Phone Number: | 4253627282 |
| Business Fax Number: | |
| Mailing Address: | 17018 15tth Ave Ne, SHORELINE |
| State: | WA |
| Postal Code: | 98155 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 02/17/2015 |
| NPI Last Update Date: | 02/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | CO60372883 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |