Healthcare Provider Details

I. General information

NPI: 1366351991
Provider Name (Legal Business Name): JORDANA WEILAND-DEL FELD MFTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 E UNION ST
SEATTLE WA
98122-3372
US

IV. Provider business mailing address

612 BELMONT AVE E APT 201
SEATTLE WA
98102-4877
US

V. Phone/Fax

Practice location:
  • Phone: 727-241-2609
  • Fax:
Mailing address:
  • Phone: 727-241-2609
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number70043280
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: