Organization
YOUNG H. KIM, MD, PC
Active
Other names
Clarkston Family Counseling Associates
Organization subpart
No
Provider details
NPI number
Authorized official
YOUNG H KIM MD (PRESIDENT)
(248) 373-1133
Entity
Organization
Contact information
Practice address
2545 N OPDYKE RD, SUITE 104, AUBURN HILLS, MI 48326-1970
(248) 373-1133
(248) 373-1140
Mailing address
2545 N OPDYKE RD, SUITE 104, AUBURN HILLS, MI 48326-1970
(248) 373-1133
(248) 373-1140
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
6301006011
MI
103TC0700X
Clinical Psychologist
6301009503
MI
1041C0700X
Clinical Social Worker
6801010010
MI
1041C0700X
Clinical Social Worker
6801033761
MI
1041C0700X
Clinical Social Worker
6801066233
MI
1041C0700X
Clinical Social Worker
6801068002
MI
2084P0800X
Psychiatry Physician
Primary
4301040478
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2606374792
BLUE CROSS BLUE SHIELD
MI
01
—
680F331960
BLUE CROSS BLUE SHIELD
MI
01
—
680F333020
BLUE CROSS BLUE SHIELD
MI
01
—
8008908390
BLUE CROSS BLUE SHIELD
—
01
—
8008965160
BLUE CROSS BLUE SHIELD
MI
01
—
8008965400
BLUE CROSS BLUE SHIELD
MI
01
—
8008969050
BLUE CROSS BLUE SHIELD
MI
Enumeration date
01/22/2007
Last updated
06/24/2013
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