Individual
EDWARD LAWRENCE JOONG SHIN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
1458 E 820 N, OREM, UT 84097-5481
(801) 389-7169
Mailing address
1538 S 175 E, OREM, UT 84058-7694
(949) 295-3964
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12675017-3904
UT
Other
Enumeration date
03/09/2023
Last updated
07/30/2025
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