Individual
BRENDAN D CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1220 E COLUMBIA ST UNIT 103, SEATTLE, WA 98122-4467
(916) 470-0668
Mailing address
1220 E COLUMBIA ST UNIT 103, SEATTLE, WA 98122-4467
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MG61634157
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01536011
MEDI-CAL
CA
Enumeration date
09/26/2020
Last updated
09/13/2025
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