Individual
YAXU ZHANG
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) 785-9482
Mailing address
3639 MARTIN LUTHER KING JR WAY S, SEATTLE, WA 98144-6847
(206) 785-9482
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP61106980
WA
104100000X
Social Worker
LW61383008
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2138265
—
WA
Enumeration date
06/14/2019
Last updated
03/08/2023
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