Individual
SOEUN PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
112 E AMERIGE AVE UNIT 241, FULLERTON, CA 92832-1920
(909) 326-0175
Mailing address
112 E AMERIGE AVE UNIT 241, FULLERTON, CA 92832-1920
(909) 326-0175
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
32443
CA
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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