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

Heejung Park, SUDPT

Individual provider Mental Health Counselor · NPI 1275237521

Heejung Park, SUDPT is a Mental Health Counselor in Lynnwood, Washington. Licensed in Washington. Registered with an NPI since 2023.

Licensed in
WA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

4629 168th St SW Ste E
Lynnwood, WA 98037-8640
Phone: (253) 652-9975
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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 MC61576931 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence CO61420788 (WA)

Record details

NPI number1275237521
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUDPT
Sole proprietorNo
NPI enumeratedMarch 29, 2023
Last updated in NPPESNovember 5, 2024
Certification dateNovember 5, 2024
Mailing address717 Bobcat Ln Nw, Issaquah, WA 98027-5703

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