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Edmund Park, MDIV
Mental Health Counselor in Seattle, Washington
NPI 1881146462

Edmund Park is a Mental Health Counselor based in Seattle, WA and is specialized in Mental Health. Edmund Park practices in Seattle, WA and has the professional credentials of MDIV. The NPI Number for Edmund Park is 1881146462 and holds a License No. MC 60176362 (Washington).

The current practice location address for Edmund Park is 2915 E Madison St, Seattle, WA and can be reached out via phone at 206-659-5413.

Location: 2915 E Madison St, Seattle, WA, 98112-4265
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Provider Profile Details
NPI Number
1881146462
Provider Name
Edmund Park
Credential
MDIV
Provider Entity Type
Individual
Gender
Male
Address
2915 E Madison St, Seattle, WA, 98112-4265
Phone Number
206-659-5413
Fax Number
Provider Enumeration Date
10/28/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
777232A01NYJ 01 WA PREMERA BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
2915 E Madison St
City
State
Zip
98112-4265
Phone Number
206-659-5413
Fax Number
person
Provider Business Mailing Address Details
Address
2915 E Madison St
City
State
Zip
98112-4265
Phone Number
206-659-5413
Fax Number
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Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MC 60176362 (Washington)
Definition
Definition to come...
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