Organization
WEST COAST ANXIETY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ELAINE-KETCHAM CROOKS LICSW (FOUNDER, CEO, PSYCHOTHERAPIST)
(206) 590-2226
Entity
Organization
Contact information
Practice address
2331 42ND AVE SW APT 403, SEATTLE, WA 98116-2557
(206) 590-2226
Mailing address
2331 42ND AVE SW APT 403, SEATTLE, WA 98116-2557
(206) 590-2226
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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