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Jesse Tyler Marshall
Mental Health Counselor in Bellevue, Washington
NPI 1982111712

Jesse Tyler Marshall is a Mental Health Counselor based in Bellevue, WA and is specialized in Mental Health. Jesse Tyler Marshall practices in Bellevue, WA. The NPI Number for Jesse Tyler Marshall is 1982111712 and holds a License No. LH61119164 (Washington).

The current practice location address for Jesse Tyler Marshall is 2320 130Th Ave Ne Ste 210, Bellevue, WA and can be reached out via phone at 425-614-7411.

Location: 2320 130Th Ave Ne Ste 210, Bellevue, WA, 98005-1752
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982111712
Provider Name
Jesse Tyler Marshall
Credential
Provider Entity Type
Individual
Gender
Male
Address
2320 130Th Ave Ne Ste 210, Bellevue, WA, 98005-1752
Phone Number
425-614-7411
Fax Number
Provider Enumeration Date
01/02/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2320 130Th Ave Ne Ste 210
City
Bellevue
State
Washington
Zip
98005-1752
Phone Number
425-614-7411
Fax Number
person
Provider Business Mailing Address Details
Address
2320 130Th Ave Ne Ste 210
City
Bellevue
State
Washington
Zip
98005-1752
Phone Number
425-614-7411
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LH61119164 (Washington)
Definition
Definition to come...
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