Provider Demographics
NPI:1073123733
Name:NAMKUNG COUNSELING
Entity Type:Organization
Organization Name:NAMKUNG COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:YOUNGNAN
Authorized Official - Middle Name:NANCY
Authorized Official - Last Name:NAMKUNG
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:206-717-3838
Mailing Address - Street 1:PO BOX 30715
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98113-0715
Mailing Address - Country:US
Mailing Address - Phone:206-354-8629
Mailing Address - Fax:
Practice Address - Street 1:2611 NE 125TH ST STE 116
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-4374
Practice Address - Country:US
Practice Address - Phone:206-717-3838
Practice Address - Fax:206-326-1040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-06
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty