Most Relevant Information
Provider Data
| NPI Number: | 1003635079 |
| Provider Name: | ELLEN WASTELL |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/07/2024 |
| Last Updated: | 10/07/2024 |
Provider Practice Location
13555 NE BEL RED RD STE 228
BELLEVUE
WA
980052324
Practice Location Phone/Fax
| Phone: | 2069012000 |
| Fax: |
Provider Mailing Location
6400 SOUTHCENTER BLVD
TUKWILA
WA
981882547
Provider Mailing Phone/Fax
| Phone: | 2069012000 |
| Fax: | 2069012010 |