Individual
MR. KIRK TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
3639 MARTIN LUTHER KING JR WAY S, SEATTLE, WA 98144-6847
(206) 695-7600
(206) 695-7606
Mailing address
3639 MARTIN LUTHER KING JR WAY S, SEATTLE, WA 98144-6847
(206) 695-7600
(206) 695-7606
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
SC 60177968
WA
1041C0700X
Clinical Social Worker
Primary
SC 6060177968
WA
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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