Individual
JACOB VENN BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
611 12TH AVE S, SEATTLE, WA 98144-2007
(206) 324-9360
Mailing address
611 12TH AVE S, SEATTLE, WA 98144-2007
(206) 324-9360
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SC61684174
WA
Other
Enumeration date
02/19/2024
Last updated
07/10/2026
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