Basic Information
| Provider Information | |||||||||
| NPI: | 1790825735 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TSAI | ||||||||
| FirstName: | CHUAN-CHUAN | ||||||||
| MiddleName: | |||||||||
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| Credential: | PHD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4424 6TH AVE., #1G | ||||||||
| Address2: | |||||||||
| City: | TACOMA | ||||||||
| State: | WA | ||||||||
| PostalCode: | 98406 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2536978400 | ||||||||
| FaxNumber: | 2532720748 | ||||||||
| Practice Location | |||||||||
| Address1: | 4424 6TH AVE., #1G | ||||||||
| Address2: | |||||||||
| City: | TACOMA | ||||||||
| State: | WA | ||||||||
| PostalCode: | 98406 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2532724557 | ||||||||
| FaxNumber: | 2532720748 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/07/2007 | ||||||||
| LastUpdateDate: | 09/28/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 09/28/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | LH00003676 | WA | N | Behavioral Health & Social Service Providers | Counselor | Mental Health | 101YM0800X | MH0000376 | WA | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.