Individual
DR. CHAN YOUNG PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3915 OLD LEE HWY # 234, FAIRFAX, VA 22030-2432
(703) 259-5617
(703) 552-2037
Mailing address
3915 OLD LEE HWY # 234, FAIRFAX, VA 22030-2432
(703) 259-5617
(703) 552-2037
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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