MR. DENNIS CHAI SUN PARK MA/MS CADCIII CDP NPI 1205916269

NPI Information

NPI: 1205916269
Provider Name: MR. DENNIS CHAI SUN PARK, MA/MS, CADCIII, CDP
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1230 7TH AVE
LONGVIEW, WA
ZIP 98632
Phone: (180) 025-7200
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MR. Dennis Chai Sun Park, MA/MS, CADCIII, CDP is an addiction (substance use disorder) counselor in Longview, WA. MR. Dennis Chai Sun Park, MA/MS, CADCIII, CDP NPI is 1205916269. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1230 7TH AVE
LONGVIEW, WA
ZIP 98632-166
Phone: (180) 025-7200

The enumeration date for this NPI number is 10/16/2006 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CP00005610	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CP00005610	OTHER	WASHINGTON	CHEMICAL DEPENDENCY WA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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