Individual
JONATHAN P KILIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
1930 POST ALY, SEATTLE, WA 98101-1074
(206) 728-4143
(206) 956-1018
Mailing address
PO BOX 3835, SEATTLE, WA 98124-3835
(206) 548-3114
(206) 762-6355
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LW60908637
WA
1041C0700X
Clinical Social Worker
Primary
LW60908637
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W720382802
REGENCE BLUE CROSS
WA
Enumeration date
10/02/2018
Last updated
10/25/2019
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