Individual
JUNG MEE CHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9100 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-2427
(253) 302-3826
(253) 257-5212
Mailing address
9100 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-2427
(253) 302-3826
(253) 257-5212
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP61462050
WA
390200000X
Student in an Organized Health Care Education/Training Program
CG61219195
WA
Other
Enumeration date
02/17/2020
Last updated
11/04/2024
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