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

Subin Park

Individual provider Mental Health Counselor · NPI 1134849482

Subin Park is a Mental Health Counselor in Vancouver, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2022

Practice location Address checks out

3200 NE 109th Ave
Vancouver, WA 98682-7749
Phone: (360) 695-1014
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 CG61352925 (WA)

Record details

NPI number1134849482
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 29, 2022
Last updated in NPPESAugust 29, 2022
Certification dateAugust 29, 2022
Mailing address3200 Ne 109th Ave, Vancouver, WA 98682-7749

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