Individual
JAE S YOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9100 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-2427
(253) 302-3826
(253) 267-5212
Mailing address
4530 82ND AVENUE CT W, UNIVERSITY PLACE, WA 98466-2300
(253) 328-1252
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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