Individual
JAIDA ROSE JOSEPHINE HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 18TH AVE S, SEATTLE, WA 98144-4317
(206) 731-7210
Mailing address
1800 S JACKSON ST APT 443, SEATTLE, WA 98144-2186
(253) 833-7444
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
WA
324500000X
Substance Abuse Rehabilitation Facility
—
WA
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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