Provider Demographics
NPI:1063210771
Name:VELOTTA, JAIMEE (LMHCA)
Entity type:Individual
Prefix:
First Name:JAIMEE
Middle Name:
Last Name:VELOTTA
Suffix:
Gender:
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12613 NE 192ND PL
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-2530
Mailing Address - Country:US
Mailing Address - Phone:206-708-9577
Mailing Address - Fax:
Practice Address - Street 1:119 UNION AVE
Practice Address - Street 2:
Practice Address - City:SNOHOMISH
Practice Address - State:WA
Practice Address - Zip Code:98290-2942
Practice Address - Country:US
Practice Address - Phone:425-276-1578
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61590365101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health