Individual
MIN JI PARK-KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24624 VAN ZANDT AVE, LITTLE NECK, NY 11362-1239
(737) 235-6277
Mailing address
2210 BUENA VISTA LN, ROUND ROCK, TX 78665-5624
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
00856
NY
101YP2500X
Professional Counselor
Primary
90026
TX
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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