Individual provider · Type 1 NPI

Dustin Khanh Phan, LICSWA

Mental Health Counselor · Seattle, WA

NPI number 1992517965 Active

Practice location

3800 S Othello St
Seattle, WA 98118-3562

Call (706) 633-0405 Map

Mailing address

5630 California Ave SW Apt 11
Seattle, WA 98136-1534

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XSC61599639 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1992517965

Dustin Khanh Phan, LICSWA's National Provider Identifier is 1992517965, issued on Jan 24, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Seattle, WA. The record was last updated on Jan 24, 2025.