Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dustin Khanh Phan, LICSWA

Individual provider Mental Health Counselor · NPI 1992517965

Dustin Khanh Phan, LICSWA is a Mental Health Counselor in Seattle, Washington. Licensed in Washington. Registered with an NPI since 2025.

Licensed in
WA
In the registry since
2025

Practice location Address checks out

3800 S Othello St
Seattle, WA 98118-3562
Phone: (706) 633-0405
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence SC61599639 (WA)

Record details

NPI number1992517965
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSWA
Sole proprietorNo
NPI enumeratedJanuary 24, 2025
Last updated in NPPESJanuary 24, 2025
Certification dateJanuary 24, 2025

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