Individual
CHIA-CHI WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
3639 MLK JR WAY S, SEATTLE, WA 98144-6847
(206) 695-7538
Mailing address
3639 MARTIN LUTHER KING JR WAY S, SEATTLE, WA 98144-6847
(206) 695-7538
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP60052087
WA
1041C0700X
Clinical Social Worker
Primary
LW60981298
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006201
—
WA
05
—
1023316
—
WA
05
—
261QR0405X
—
WA
Enumeration date
02/10/2014
Last updated
04/25/2024
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