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
325 W GOWE ST, KENT, WA 98032-5892
(253) 833-7444
(253) 661-8631
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CAAR.CG.70045172
WA
101Y00000X
Counselor
Primary
—
WA
324500000X
Substance Abuse Rehabilitation Facility
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2349171
—
WA
Enumeration date
09/08/2025
Last updated
08/05/2026
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