Organization
SQUAREONE SERVICES, SPC
Active
Organization
SQUAREONE SERVICES, SPC
Active
Other names
Square One, Square One Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA WHITEHEAD (CEO)
(425) 412-3155
Entity
Organization
Contact information
Practice address
21300 68TH AVE W STE 105, LYNNWOOD, WA 98036-7310
(425) 412-3155
(425) 249-3522
Mailing address
21300 68TH AVE W STE 105, LYNNWOOD, WA 98036-7310
(425) 412-3155
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2125346
—
WA
Enumeration date
10/04/2018
Last updated
11/04/2021
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