Individual
ELLY YOOIL JEONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1730 WESTFIELD CT, LAWRENCEVILLE, GA 30043-5664
(212) 401-2206
Mailing address
1730 WESTFIELD CT, LAWRENCEVILLE, GA 30043-5664
(212) 401-2206
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CSW008625
GA
Other
Enumeration date
04/24/2023
Last updated
11/11/2024
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