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Individual

DAVID JERAISEH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMFTA, CMHS, EMMHS

Contact information

Practice address
515 W HARRISON ST STE 109, KENT, WA 98032-4403
(253) 856-9000
(253) 520-6647
Mailing address
2600 SW HOLDEN ST, SEATTLE, WA 98126-3505
(206) 972-9339
(206) 933-7297

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MG60811385
WA

Other

Enumeration date
10/10/2017
Last updated
10/11/2018
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