Provider Demographics
NPI:1417295650
Name:CHANG, YUN HEE
Entity Type:Individual
Prefix:
First Name:YUN
Middle Name:HEE
Last Name:CHANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17813 SE 392ND ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98092-9126
Mailing Address - Country:US
Mailing Address - Phone:253-804-8752
Mailing Address - Fax:253-333-3615
Practice Address - Street 1:17813 SE 392ND ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98092-9126
Practice Address - Country:US
Practice Address - Phone:253-804-8752
Practice Address - Fax:253-333-3615
Is Sole Proprietor?:No
Enumeration Date:2013-01-23
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
WALH60642577101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health