Jason Hautala

NPI 1750927836 · on the registry since 2019

Practice

Address: 307 W Cota St
Shelton, WA 98584
Phone: (360) 666-3808
Fax: (510) 217-6559
Organisation at this address: Telecare Mental Health Services Of Washington, Inc
Telecare Mental Health Services Of Washington, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 115

Registry record

Primary taxonomy: 163WP0808X
163WP0808X
Licence states on file: WA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-11-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington