Individual
JASON DWAYNE STEFAN ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AAC, CMHC INTERN
Contact information
Practice address
4048 7TH AVE NE APT 203, SEATTLE, WA 98105-5586
(206) 743-6801
Mailing address
4048 7TH AVE NE APT 203, SEATTLE, WA 98105-5586
(206) 743-6801
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/25/2025
Last updated
04/25/2025
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