Individual
JASON H CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
910 W BOONE AVE, SPOKANE, WA 99201-5029
(509) 325-7232
Mailing address
7440 W MARGINAL WAY S, SEATTLE, WA 98108-4141
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/11/2019
Last updated
04/11/2019
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