Individual
RAYEONG CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CO 61012713
Contact information
Practice address
400 YESLER WAY, SEATTLE, WA 98104-3265
(206) 695-7600
Mailing address
3639 MARTIN LUTHER KING JR WAY S, SEATTLE, WA 98144-6847
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61012713
WA
Other
Enumeration date
11/02/2019
Last updated
11/02/2019
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