Chan, Wai Wun Diana

Chan, Wai Wun Diana is an individual health care provider with primary practice located at 793 Ericksen Ave Ne Ste 123 , Bainbridge Island WA 98110-1877. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Chan, Wai Wun Diana can be contacted via phone (206) 207-5375.

Contact Information

Primary practice address
793 Ericksen Ave Ne Ste 123 Bainbridge Island WA 98110-1877
Phone: (206) 207-5375
Fax: (206) 338-9906
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LW60193264 Washington
Behavioral Health & Social Service Providers / Professional 101YP2500X LW60193264 Washington
Behavioral Health & Social Service Providers / Social Worker 104100000X LW60193264 Washington
Behavioral Health & Social Service Providers / Clinical 1041C0700X LW 60193264 Washington

Profile Details

NPI number 1952552309
LBN Legal business name Chan, Wai Wun Diana
Credentials MSW, LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2008
Last updated Jul 27th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952552309 NPPES
Washington MEDICAID 2048825

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