Individual
ALBERT WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3639 MLK JR WAY S, SEATTLE, WA 98144-6847
(206) 695-7600
(206) 695-7606
Mailing address
841 CENTRAL AVE N STE C100, KENT, WA 98032-2016
(206) 695-7600
(206) 695-7606
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
MC61079032
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
CO61074899
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2157888
—
WA
Enumeration date
08/15/2016
Last updated
09/10/2020
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