Individual
JAE UNG PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14 FORDHAM RD, BOSTON, MA 02134-3000
(617) 782-6460
Mailing address
139 WASHINGTON ST APT 737, BOSTON, MA 02135-4372
(617) 952-3530
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
225A00000X
Music Therapist
17416
CA
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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