Individual
JEAN KALLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2133 3RD AVE, SEATTLE, WA 98121-2385
(206) 432-3574
Mailing address
6821 40TH AVE NE, SEATTLE, WA 98115-7531
(630) 248-9328
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/31/2022
Last updated
09/15/2022
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