Individual provider · Type 1 NPI

Eunmi Park

Mental Health Counselor · Watertown, NY

NPI number 1376189118 Active

Practice location

211 J.b. Wise Plaza
Watertown, NY 13601

Call (315) 782-7445 Map

Fax (315) 779-1184

Mailing address

PO Box 6550
Watertown, NY 13601-6550

Other practice locations

  • 167 Polk St Ste 300, Watertown, NY 13601-2770 · (315) 777-9713

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Mental Health Counselor Primary 101YM0800XP103873-01

Mental Health Counselor: Definition to come...

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About NPI 1376189118

Eunmi Park's National Provider Identifier is 1376189118, issued on Nov 26, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Watertown, NY. The record was last updated on Sep 17, 2020.