MEDICARE: KUAN-I WU MS, MSED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	0704016137	VA
2	101YP2500X	Professional Counselor	PRC200002832	DC

General Provider Information

NPI Number	:	1164206942
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KUAN-I WU MS, MSED

Provider Business Mailing Address
First Line	:	650 PENNSYLVANIA AVE SE STE 440
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20003-4424
Country	:	US
Telephone Number	:	202-544-5440
Fax Number	:	866-311-4280

Provider Business Practice Location Address
First Line	:	1235 S CLARK ST STE 501
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22202-4362
Country	:	US
Telephone Number	:	202-544-5440
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2023
Last Update Date	:	07/01/2026

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