Individual
DR. EUNHEE SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHP-C
Contact information
Practice address
10560 MAIN ST STE 508, FAIRFAX, VA 22030-7173
(571) 275-6661
Mailing address
6775 STONE MAPLE TER, CENTREVILLE, VA 20121-5737
(571) 201-0916
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0733008077
VA
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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