Individual
ANGELA APHAYVANH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, SUDP, LSWAIC
Contact information
Practice address
3639 MARTIN LUTHER KING JR WAY S, SEATTLE, WA 98144-6847
(206) 805-8940
Mailing address
3639 MLK JR WAY S, SEATTLE, WA 98144-6847
(206) 695-7600
(206) 695-7606
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP61076749
WA
104100000X
Social Worker
SC60708805
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2111734
—
WA
Enumeration date
08/01/2018
Last updated
03/23/2021
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