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Individual

MRS. JEE HYUN PARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A. LCADC

Contact information

Practice address
25 ELIZABETH ST, SUITE F, NEW BRUNSWICK, NJ 08901-3497
(484) 213-1075
(732) 246-3455
Mailing address
25 ELIZABETH ST, SUITE F, NEW BRUNSWICK, NJ 08901-3497
(484) 213-1075
(732) 246-3455

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00177100
NJ

Other

Enumeration date
01/07/2013
Last updated
01/07/2013
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