Individual
JASON WEZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1202 BLACK LAKE BLVD SW STE B, OLYMPIA, WA 98502-7208
(360) 489-0402
Mailing address
4834 RURAL RD SW APT 301, TUMWATER, WA 98512-6715
(360) 463-7717
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/01/2022
Last updated
10/28/2022
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