Individual
JONATHAN WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1400 NE CAMPUS PKWY, SEATTLE, WA 98195-6622
(425) 269-2955
Mailing address
4039 E LAKE SAMMAMISH SHORE LN SE, SAMMAMISH, WA 98075-7479
(425) 269-2955
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
PY60809963
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ICAN912
LA COUNTY DMH
CA
Enumeration date
09/27/2011
Last updated
10/31/2022
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