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Individual

DAVID U CHANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CDPT

Contact information

Practice address
5116 196TH ST SW STE 101, LYNNWOOD, WA 98036-6148
(425) 776-1290
Mailing address
5806 119TH AVE SE # 268, BELLEVUE, WA 98006-3749
(206) 335-3732

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60180055
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CO60160055
CHEMICAL DEPENDENCY PROFESSIONAL TRAINEE CERTIFICATION
WA
Enumeration date
09/06/2017
Last updated
06/11/2019
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