Individual
MS. BRIE MICAH CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LSWAIC, LMT
Contact information
Practice address
916 NE 65TH ST, SEATTLE, WA 98115-5542
(206) 267-0863
Mailing address
916 NE 65TH ST, SEATTLE, WA 98115-5542
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SC60885179
WA
225700000X
Massage Therapist
MA60826362
WA
Other
Enumeration date
03/21/2018
Last updated
08/18/2020
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