Provider Demographics
NPI:1720387608
Name:MOON, CHIA-WEN CHEN (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:CHIA-WEN
Middle Name:CHEN
Last Name:MOON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:CHIA-WEN
Other - Middle Name:
Other - Last Name:CHEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 354410
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195-4410
Mailing Address - Country:US
Mailing Address - Phone:206-543-5030
Mailing Address - Fax:
Practice Address - Street 1:4060 E STEVEN CIR HALL HEALTH
Practice Address - Street 2:MENTAL HEALTH CLINIC
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-0001
Practice Address - Country:US
Practice Address - Phone:206-543-5030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-18
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60209064101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health