Individual
JO WAININ CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1091 BAY DR, NEW SMYRNA BEACH, FL 32168-7810
(202) 669-7770
Mailing address
1091 BAY DR, NEW SMYRNA BEACH, FL 32168-7810
(202) 669-7770
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP12045
MD
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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