Individual
VICKIE FANFAN YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3639 MARTIN LUTHER KING JR WAY S, SEATTLE, WA 98144-6847
(206) 695-7600
(206) 695-7606
Mailing address
3639 MARTIN LUTHER KING JR WAY S, SEATTLE, WA 98144-6847
(206) 695-7600
(206) 695-7606
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
SC60971181
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61001779
WA
Other
Enumeration date
09/03/2019
Last updated
09/18/2019
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