Individual provider · Type 1 NPI

Jonathan Lee Blasingame

Mental Health Counselor · Everett, WA

NPI number 1407580921 Active

Practice location

2802 Broadway
Everett, WA 98201-3642

Mailing address

PO Box 839
Everett, WA 98206-0839

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1407580921

Jonathan Lee Blasingame's National Provider Identifier is 1407580921, issued on Jul 11, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Everett, WA. The record was last updated on Jul 11, 2022.