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General NPI Number Information
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NPI Number | 1619146610
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Entity Type | Individual
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Provider Name | CHUNG-HSU HSU LMHC
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Gender | Female
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Dates
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Enumeration Date | 02/22/2008
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Last Update Date | 07/26/2024
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Provider Practice Location Address
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Address Line | 655 156TH AVE SE STE 255
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City | BELLEVUE
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State | WA
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Zip | 98007-5018
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Country | US
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Telephone | 206-695-7511
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Fax |
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Provider Business Mailing Address
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Address Line | 3639 MARTIN LUTHER KING JR WAY S
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City | SEATTLE
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State | WA
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Zip | 98144-6847
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Country | US
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Telephone | 206-695-7600
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH00010700
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License Number State | WA
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