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Subin Park
Mental Health Counselor in Vancouver, Washington
NPI 1134849482

Subin Park is a Mental Health Counselor based in Vancouver, WA and is specialized in Mental Health. Subin Park practices in Vancouver, WA. The NPI Number for Subin Park is 1134849482 and holds a License No. CG61352925 (Washington).

The current practice location address for Subin Park is 3200 Ne 109Th Ave, Vancouver, WA and can be reached out via phone at 360-695-1014.

Location: 3200 Ne 109Th Ave, Vancouver, WA, 98682-7749
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134849482
Provider Name
Subin Park
Credential
Provider Entity Type
Individual
Gender
Male
Address
3200 Ne 109Th Ave, Vancouver, WA, 98682-7749
Phone Number
360-695-1014
Fax Number
Provider Enumeration Date
08/29/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3200 Ne 109Th Ave
City
Vancouver
State
Washington
Zip
98682-7749
Phone Number
360-695-1014
Fax Number
person
Provider Business Mailing Address Details
Address
3200 Ne 109Th Ave
City
Vancouver
State
Washington
Zip
98682-7749
Phone Number
360-695-1014
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
CG61352925 (Washington)
Definition
Definition to come...
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