Individual
NATHAN JOON PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MED
Contact information
Practice address
2960 CHAIN BRIDGE RD STE 200, OAKTON, VA 22124-3040
(703) 490-0336
(703) 490-4525
Mailing address
4383 PATRIOT PARK CT, FAIRFAX, VA 22030-4333
(703) 975-0095
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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