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Soochul Song
Student in an Organized Health Care Education/Training Program in Seattle, Washington
NPI 1831607175

Soochul Song is a Student in an Organized Health Care Education/Training Program based in Tukwila, WA. Soochul Song practices in Seattle, WA. The NPI Number for Soochul Song is 1831607175 and holds a License No. (Washington).

The current practice location address for Soochul Song is 2329 4Th Ave, Seattle, WA and can be reached out via phone at 206-461-3649. You can also correspond with Soochul Song through the mailing address at 6400 SOUTHCENTER BLVD, TUKWILA, WA - 98188-2547 (mailing address contact number: ).

Location: 2329 4Th Ave, Seattle, WA, 98188-2547
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831607175
Provider Name
Soochul Song
Credential
Provider Entity Type
Individual
Gender
Male
Address
2329 4Th Ave, Seattle, WA, 98188-2547
Phone Number
206-461-3649
Fax Number
Provider Enumeration Date
01/22/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2329 4Th Ave
City
Seattle
State
Washington
Zip
98121-1717
Phone Number
206-461-3649
Fax Number
person
Provider Business Mailing Address Details
Address
2329 4Th Ave
City
Seattle
State
Washington
Zip
98121-1717
Phone Number
206-461-3649
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Addiction (Substance Use Disorder)
Taxonomy
103TA0400X
License No.
()
Definition
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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