Provider Demographics
NPI:1972939320
Name:MUSCATEL, JILLIAN RILEY (MA, LMHC)
Entity Type:Individual
Prefix:MS
First Name:JILLIAN
Middle Name:RILEY
Last Name:MUSCATEL
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2711 E MADISON ST STE 210
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98112-4763
Mailing Address - Country:US
Mailing Address - Phone:206-472-1699
Mailing Address - Fax:
Practice Address - Street 1:2711 E MADISON ST STE 210
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112-4763
Practice Address - Country:US
Practice Address - Phone:206-472-1699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-17
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACG60407877101Y00000X, 101YM0800X
WALH60956297101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor