Individual
CALLUM JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1914 N 34TH ST STE 206, SEATTLE, WA 98103-9089
(206) 594-0577
Mailing address
1914 N 34TH ST STE 206, SEATTLE, WA 98103-9089
(206) 594-0577
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHCA.MC.61690268
WA
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/23/2024
Last updated
04/12/2026
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