Individual
YONG JOON CALEB PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT154900
CA
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
01/23/2018
Last updated
03/06/2026
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