Provider Demographics
NPI:1942777594
Name:ORANGE, JESSIKA ROBYN
Entity Type:Individual
Prefix:
First Name:JESSIKA
Middle Name:ROBYN
Last Name:ORANGE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 26TH ST NE
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98002-2502
Mailing Address - Country:US
Mailing Address - Phone:206-731-7173
Mailing Address - Fax:253-833-1798
Practice Address - Street 1:915 26TH ST NE
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002-2502
Practice Address - Country:US
Practice Address - Phone:206-731-7173
Practice Address - Fax:253-833-1798
Is Sole Proprietor?:No
Enumeration Date:2018-10-31
Last Update Date:2018-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor