DUSTIN KHANH PHAN

SEATTLE, WA
NPI1992517965
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WA  SC61599639)
Enumeration Date2025-01-24
Last Update Date2025-01-24
Business Address
DUSTIN KHANH PHAN LICSWA
3800 S OTHELLO ST
SEATTLE, WA 98118-3562
Phone number: 706-633-0405
Mailing Address
DUSTIN KHANH PHAN LICSWA
5630 CALIFORNIA AVE SW APT 11
SEATTLE, WA 98136-1534
Phone number: 706-633-0405