Edmund Park, MDIV
Edmund Park, MDIV is a Mental Health Counselor in Seattle, Washington. Practices as a sole proprietor. Licensed in Washington.
- Licensed in
- WA
- In the registry since
- 2016
Practice location Address checks out
2915 E Madison St Ste 201Seattle, WA 98112-4265
Phone: (206) 659-5413
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence MC 60176362 (WA) |
|---|
Record details
| NPI number | 1881146462 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MDIV |
| Sole proprietor | Yes |
| NPI enumerated | October 28, 2016 |
| Last updated in NPPES | October 28, 2016 |
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