Jason R Eller, LICSWA, MSW

NPI #1902685464 in Lacey, Washington

Provider Information

NPI Number: 1902685464
Entity Type: Individual
Name: Jason R Eller, LICSWA, MSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LICSWA, MSW
Enumeration Date: Sep 25, 2023
Last Updated: Sep 25, 2023

Practice Location

Address: 4200 6TH AVE SE STE 201
City: Lacey
State: Washington
ZIP Code: 98503-1042
Phone: (564) 669-0130

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Social Worker	104100000X	Primary

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