Josh Juexiao Xu, LICSW
Social Worker, Clinical in Renton, WA. Individual provider (NPI-1).
NPI number1962009258
StatusActive
Last updated in NPPESJan 9, 2025
Details
- NPI
- 1962009258
- Entity type
- Individual (NPI-1)
- Name
- Josh Juexiao Xu
- Credential
- LICSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 8, 2020
- Certification date
- Jan 9, 2025
- Last updated
- Jan 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LW61609976 | WA | Yes |
| 101Y00000X | Counselor | – | – |
Practice location
221 Wells Ave SRenton, WA 98057-2161
Phone 253-833-7444
Mailing address
325 W Gowe StKent, WA 98032-5892
Phone 253-833-7444
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