Individual
ANDREW SUNGDO SON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1610 MEDICAL DR STE 310, POTTSTOWN, PA 19464-3293
(610) 970-5000
Mailing address
1610 MEDICAL DR STE 310, POTTSTOWN, PA 19464-3293
(610) 970-5000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC012648
PA
101YP2500X
Professional Counselor
012648
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1982219770
NPI
—
01
—
PC012648
BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS
PA
Enumeration date
09/09/2020
Last updated
10/02/2021
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