Individual
COLLIN JEVMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW
Contact information
Practice address
500 5TH AVE, SEATTLE, WA 98104-2332
(608) 335-2025
Mailing address
500 5TH AVE, SEATTLE, WA 98104-2332
(608) 335-2025
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
SC60581931
WA
Other
Enumeration date
03/27/2019
Last updated
11/05/2020
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