Individual
JELLIANE ANASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13555 AURORA AVE N, SEATTLE, WA 98133-7511
(253) 999-5750
Mailing address
4200 S OTHELLO ST UNIT 306, SEATTLE, WA 98118-3882
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
175T00000X
Peer Specialist
—
—
208D00000X
General Practice Physician
RN61621250
WA
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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