Individual
SIN YOUNG PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CRC, LPC-IT
Contact information
Practice address
1717 N STOUGHTON RD, MADISON, WI 53704-2605
(608) 838-8999
Mailing address
725 UNIVERSITY ROW APT 307, MADISON, WI 53705-1453
(608) 692-3532
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7064-226
WI
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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