Chang, Chong

Chang, Chong is an individual health care provider with primary practice located at 2042 Wooddale Dr Ste 250 , Woodbury MN 55125-4421. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Chang, Chong can be contacted via phone (651) 300-3328.

Contact Information

Primary practice address
2042 Wooddale Dr Ste 250 Woodbury MN 55125-4421
Fax: (651) 419-1314
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 01229 Minnesota

Profile Details

NPI number 1326458340
LBN Legal business name Chang, Chong
Credentials MA, LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2014
Last updated Mar 16th, 2021 - about 3 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 1326458340 NPPES
Minnesota MEDICAID 981932200

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