Organization
GRACE KOREAN CHURCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAKHYUN CHO PHD, LPC, NCC (DIRECTOR OF COUNSELING)
(202) 295-7069
Entity
Organization
Contact information
Practice address
10560 MAIN ST STE 207, FAIRFAX, VA 22030-7176
(202) 295-7069
Mailing address
10560 MAIN ST STE 207, FAIRFAX, VA 22030-7176
(202) 295-7069
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/11/2020
Last updated
05/17/2024
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