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Organization
MIJIN KIM CREATIVE ARTS THERAPY PSYCHOTHERAPY, PLLC
Active
Organization
MIJIN KIM CREATIVE ARTS THERAPY PSYCHOTHERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIJIN KIM DA, LCAT (OWNER)
(917) 767-5237
Entity
Organization
Contact information
Practice address
111 N. CENTRAL PARK AVENUE, SUITE 340, HARTSDALE, NY 10530
(917) 767-5237
Mailing address
21 CAROLYN WAY, PURDYS, NY 10578-1011
(917) 767-5237
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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