Individual
JONATHAN TROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11611 AIRPORT RD STE 206, EVERETT, WA 98204-3782
(425) 315-3158
Mailing address
11904 12TH ST SE, LAKE STEVENS, WA 98258-9701
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
12/01/2011
Last updated
01/27/2020
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