Individual provider · Type 1 NPI
Heesoo Karina Kim, LCSW-R, PhD
Mental Health Counselor · New York, NY
NPI number
1144452749
Active
Practice location
36 West 25th Street, 10th Floor
New York, NY 10010
Fax (917) 447-8159
Mailing address
133 N Maple Avenue, #101
East Orange, NJ 07017
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | R063025 (NY) |
| Mental Health Counselor | 101YM0800X | 44SC05455900 (NJ) |
Mental Health Counselor: Definition to come...
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About NPI 1144452749
Heesoo Karina Kim, LCSW-R, PhD's National Provider Identifier is 1144452749, issued on Aug 14, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New York, NY. The record was last updated on Oct 16, 2015.