Katelyn Sara Dorothy Yung, SUDP, CADCII
Counselor, Addiction (Substance Use Disorder) in Vancouver, WA. Individual provider (NPI-1).
NPI number1801420179
StatusActive
Last updated in NPPESJun 3, 2024
Details
- NPI
- 1801420179
- Entity type
- Individual (NPI-1)
- Name
- Katelyn Sara Dorothy Yung
- Credential
- SUDP, CADCII
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 26, 2020
- Certification date
- Sep 25, 2023
- Last updated
- Jun 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | CP61325629 | WA | Yes |
Practice location
7507 Ne 51st StVancouver, WA 98662-6007
Phone 360-906-1109
Mailing address
7507 Ne 51st StVancouver, WA 98662-6007
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