Individual provider · Type 1 NPI

Jessica Avery Tiede

Mental Health Counselor · Kirkland, WA

NPI number 1437893096 Active

Practice location

4030 Lake Washington Blvd NE Ste 201
Kirkland, WA 98033-7870

Mailing address

3116 164th St SW Apt 1705
Lynnwood, WA 98087-3252

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1437893096

Jessica Avery Tiede's National Provider Identifier is 1437893096, issued on Apr 20, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Kirkland, WA. The record was last updated on Jul 5, 2023.