Individual
HAEMAN SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDP
Contact information
Practice address
560 QUILEUTE HEIGHTS, LAPUSH, WA 98350
(360) 374-6076
(360) 374-5014
Mailing address
PO BOX 279, LA PUSH, WA 98350-0279
(360) 374-6076
(360) 374-5014
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00006142
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7084486
—
WA
Enumeration date
08/28/2007
Last updated
08/28/2007
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