Individual
JACOB VENN BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4238 AUBURN WAY N, AUBURN, WA 98002-1311
(253) 876-7600
Mailing address
6400 SOUTHCENTER BLVD, TUKWILA, WA 98188-2547
(206) 901-2000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SC61684174
WA
Other
Enumeration date
02/19/2024
Last updated
12/15/2025
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