Provider Demographics
NPI:1700169042
Name:HSIEH, WAN-JUNG (LICSW, CMHS, EMMHS)
Entity Type:Individual
Prefix:MISS
First Name:WAN-JUNG
Middle Name:
Last Name:HSIEH
Suffix:
Gender:F
Credentials:LICSW, CMHS, EMMHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8537 INTERLAKE AVE N UNIT A
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-4027
Mailing Address - Country:US
Mailing Address - Phone:314-363-3156
Mailing Address - Fax:
Practice Address - Street 1:3722 S HUDSON ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98118-1920
Practice Address - Country:US
Practice Address - Phone:206-721-5542
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-22
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program