Individual
ANNA SOOJIN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMFT, LCDC
Contact information
Practice address
3124 ALTA MESA DR, DALLAS, TX 75241-5801
(802) 438-3518
Mailing address
PO BOX 411203, DALLAS, TX 75241-8203
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13366
TX
106H00000X
Marriage & Family Therapist
Primary
202558
TX
Other
Enumeration date
01/25/2021
Last updated
02/23/2021
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