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Individual

MISS JESSE ELYSE CHASE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
1730 MINOR AVE STE 400, SEATTLE, WA 98101-2402
(206) 320-2961
(206) 710-9013
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3121
OR
103TC0700X
Clinical Psychologist
Primary
PY61310099
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2140715
WA
Enumeration date
06/10/2014
Last updated
02/27/2026
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