Individual
SONG E PAIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
8304 TAVAROS DR, PLANO, TX 75024-7230
(972) 246-8198
Mailing address
8304 TAVAROS DR, PLANO, TX 75024-7230
(972) 246-8198
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
204161
TX
106H00000X
Marriage & Family Therapist
35002077A
IN
106H00000X
Marriage & Family Therapist
85000332A
IN
Other
Enumeration date
01/08/2019
Last updated
01/05/2026
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