Individual provider · Type 1 NPI
Chan Young Park
Professional Counselor · Fairfax, VA
NPI number
1154044428
Active
Practice location
3915 Old Lee Hwy # 234
Fairfax, VA 22030-2432
Fax (703) 552-2037
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1154044428
Chan Young Park's National Provider Identifier is 1154044428, issued on Sep 22, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fairfax, VA. The record was last updated on Sep 22, 2022.