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

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP00005610 (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.