Provider Demographics
NPI:1093298663
Name:REES, JESSIE ANNE (MA, MHP)
Entity Type:Individual
Prefix:
First Name:JESSIE
Middle Name:ANNE
Last Name:REES
Suffix:
Gender:F
Credentials:MA, MHP
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:
Other - Last Name:REES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, MHP
Mailing Address - Street 1:100 N HOWARD ST
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-0508
Mailing Address - Country:US
Mailing Address - Phone:360-252-9551
Mailing Address - Fax:
Practice Address - Street 1:100 N HOWARD ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-0508
Practice Address - Country:US
Practice Address - Phone:360-252-9551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-10
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60925056101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health