Individual provider · Type 1 NPI

Jenny Yeeun Park

Mental Health Counselor · Bethpage, NY

NPI number 1194544528 Active

Practice location

1211 Stewart Ave Ste 100
Bethpage, NY 11714-1601

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X015218 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1194544528

Jenny Yeeun Park's National Provider Identifier is 1194544528, issued on Oct 3, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bethpage, NY. The record was last updated on Oct 3, 2024.