Individual
MR. DAVID WILLEM JILLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1160 140TH AVE NE STE F, BELLEVUE, WA 98005-2978
(425) 637-1289
Mailing address
4116 CALIFORNIA AVE SW APT 201, SEATTLE, WA 98116-4170
(206) 678-3882
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
60494723
WA
Other
Enumeration date
12/03/2014
Last updated
10/05/2020
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