Individual
JASON CIRCELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1455 NW LEARY WAY STE 250, SEATTLE, WA 98107-5138
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC61038426
WA
Other
Enumeration date
06/09/2016
Last updated
10/06/2022
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