Provider Information for 1679049134
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FENGHENG QIU MC, LMHCA
Sex: Male
NPI: 1679049134
Last Updated: 2018-10-22
Certification Date:
Certification Date:
Details
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NPI | 1679049134 | ||||||||
Enumeration Date | 2018-10-22 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 17435 SYLVESTER RD SW BURIEN, WA 98166-3335 United States Phone: | Fax: | ||||||||
Primary Practice Address | 999 164TH AVE NE BELLEVUE, WA 98008-3518 United States Phone: 425-747-4937 | Fax: | ||||||||
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