Provider Demographics
NPI:1497181754
Name:VOLPENTESTA, JESSICA CUBINE (LMHC)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:CUBINE
Last Name:VOLPENTESTA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 787
Mailing Address - Street 2:
Mailing Address - City:CARNATION
Mailing Address - State:WA
Mailing Address - Zip Code:98014-0787
Mailing Address - Country:US
Mailing Address - Phone:425-974-9171
Mailing Address - Fax:
Practice Address - Street 1:31209 NE 110TH ST
Practice Address - Street 2:
Practice Address - City:CARNATION
Practice Address - State:WA
Practice Address - Zip Code:98014-9743
Practice Address - Country:US
Practice Address - Phone:425-974-9171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-18
Last Update Date:2021-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC 60329800101YM0800X
WAMG 60343974106H00000X
WALH60696495101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist