Individual provider · Type 1 NPI
Dennis Chai Sun Park I, MA/MS, CADCIII, CDP
Addiction (Substance Use Disorder) Counselor · Longview, WA
NPI number
1205916269
Active
Practice location
1230 7th Ave
Longview, WA 98632-3166
Mailing address
PO Box 1562
Woodland, WA 98674-1500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CP00005610 (WA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1205916269
Dennis Chai Sun Park I, MA/MS, CADCIII, CDP's National Provider Identifier is 1205916269, issued on Oct 16, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Longview, WA. The record was last updated on Jul 21, 2022.