| Doctor Name: | MS. JESSICA KICHA |
| NPI Number: | 1003244948 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA |
| License Number: | MC60338137 |
| Business Practice Address: | 1400 112th Ave Se Suite 100 Bellevue, WA - 980046901 |
| Business Phone Number: | 4252434722 |
| Business Fax Number: | |
| Mailing Address: | 906 W. 2nd Ave., Ste 100, Northwest Registered Agent, Llc. SPOKANE |
| State: | WA |
| Postal Code: | 992017684 |
| Phone Number: | 4257866192 |
| Fax Number: | |
| NPI Enumeration Date: | 10/30/2013 |
| NPI Last Update Date: | 10/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | MC60338137 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |