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Provider Information for 1679049134


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FENGHENG QIU MC, LMHCA


Sex: Male

NPI: 1679049134
Last Updated: 2018-10-22
Certification Date:

Details

NameValue
NPI1679049134
Enumeration Date2018-10-22
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
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:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YM0800X - Counselor - Mental HealthWAMC60896948