Individual
CHAN M MIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2505 SULWHANON DR, EVERSON, WA 98247
(360) 966-2106
Mailing address
PO BOX 157, DEMING, WA 98244-0157
(360) 922-7027
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60908127
WA
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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