Individual provider · Type 1 NPI

Soochul Song

Student in an Organized Health Care Education/Training Program · Seattle, WA

NPI number 1831607175 Active

Practice location

2329 4th Ave
Seattle, WA 98121-1717

Call (206) 461-3649 Map

Mailing address

6400 Southcenter Blvd
Tukwila, WA 98188-2547

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Psychologist 103TA0400XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1831607175

Soochul Song's National Provider Identifier is 1831607175, issued on Jan 22, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Seattle, WA. The record was last updated on Sep 30, 2021.