Healthcare Provider Details

I. General information

NPI: 1679191340
Provider Name (Legal Business Name): JESSICA KAROL FRANCO MSW, LSWAIC, SUDPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2020
Last Update Date: 02/06/2026
Certification Date: 02/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5915 ORCHARD ST W
TACOMA WA
98467-3824
US

IV. Provider business mailing address

17816 40TH AVE E
TACOMA WA
98446-2804
US

V. Phone/Fax

Practice location:
  • Phone: 253-414-7461
  • Fax:
Mailing address:
  • Phone: 818-970-7682
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number61498457
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number61590173
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: