Individual
ROVELLA JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4238 AUBURN WAY N, AUBURN, WA 98002-1311
(206) 979-9080
Mailing address
6400 SOUTHCENTER BLVD, TUKWILA, WA 98188-2547
(206) 901-2000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG61392030
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
CG61392030
WA
101YM0800X
Mental Health Counselor
CG61392030
WA
175T00000X
Peer Specialist
Primary
CG61392030
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2024025
—
WA
Enumeration date
01/09/2023
Last updated
11/19/2024
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