Individual provider · Type 1 NPI
Elliot Evan Yunhan Ki
Mental Health Counselor · San Jose, CA
NPI number
1124682984
Active
Practice location
160 E Virginia St Ste 100
San Jose, CA 95112-5865
Fax (408) 579-6131
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1124682984
Elliot Evan Yunhan Ki's National Provider Identifier is 1124682984, issued on Apr 26, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Jose, CA. The record was last updated on Jul 5, 2019.