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Individual
HEEJUNG PARK
Active
Individual
HEEJUNG PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDPT
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC61576931
WA
390200000X
Student in an Organized Health Care Education/Training Program
CO61420788
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO61420788
SUDPT
WA
01
—
MC61576931
MENTAL HEALTH COUNSELOR ASSOCIATE LICENSE
WA
Enumeration date
03/29/2023
Last updated
11/05/2024
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