Provider Demographics
NPI:1982252235
Name:CHUN, HEE-KYUNG (LSWAIC)
Entity type:Individual
Prefix:
First Name:HEE-KYUNG
Middle Name:
Last Name:CHUN
Suffix:
Gender:F
Credentials:LSWAIC
Other - Prefix:
Other - First Name:SOPHIE
Other - Middle Name:
Other - Last Name:CHUN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LSWAIC
Mailing Address - Street 1:2921 5TH AVE NE STE 210
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98372-7047
Mailing Address - Country:US
Mailing Address - Phone:253-468-7899
Mailing Address - Fax:
Practice Address - Street 1:2921 5TH AVE NE STE 210
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98372-7047
Practice Address - Country:US
Practice Address - Phone:253-468-7899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-29
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASC613664571041C0700X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health