MEDICARE: JING CECI BISSONNETTE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist		WA

General Provider Information

NPI Number	:	1043000490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JING CECI BISSONNETTE

Provider Business Mailing Address
First Line	:	522 W RIVERSIDE AVE STE N
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99201-0581
Country	:	US
Telephone Number	:	425-312-3899
Fax Number	:

Provider Business Practice Location Address
First Line	:	2100 WESTLAKE AVE N STE 201
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98109-5802
Country	:	US
Telephone Number	:	434-825-0989
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2025
Last Update Date	:	12/11/2025

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Directions to “ JING CECI BISSONNETTE ” Practice Location

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