Individual
JASMINE AN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 E OLIVE ST, SEATTLE, WA 98122-2735
(206) 901-2000
(206) 901-2010
Mailing address
6400 SOUTHCENTER BLVD, TUKWILA, WA 98188-2547
(206) 901-2000
(206) 901-2010
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
WA
106S00000X
Behavior Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
WA
Other
Enumeration date
11/13/2024
Last updated
09/16/2025
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