Individual provider · Type 1 NPI
Jaejeung So, MA, LPC
Professional Counselor · Dallas, TX
NPI number
1164768669
Active
Practice location
3410 Worth St
Dallas, TX 75246-2003
Mailing address
1322 Dove Brook Dr
Allen, TX 75002-2784
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 69994 (TX) |
Professional Counselor: Definition to come...
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About NPI 1164768669
Jaejeung So, MA, LPC's National Provider Identifier is 1164768669, issued on Jan 2, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Dallas, TX. The record was last updated on Feb 21, 2017.