Individual
CASEY JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 N 36TH ST STE 224, SEATTLE, WA 98103-8697
(206) 451-7030
Mailing address
2706 WESTLAKE AVE N APT 10, SEATTLE, WA 98109-1950
(206) 451-7030
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH61478953
WA
Other
Enumeration date
08/16/2019
Last updated
01/04/2024
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