Individual provider · Type 1 NPI

Kijung Bae Kang, LCPC

Student in an Organized Health Care Education/Training Program · Silver Spring, MD

NPI number 1376614552 Active

Practice location

1620 Elton Rd, Suite 204
Silver Spring, MD 20903-1740

Call (301) 439-7191 Map

Mailing address

6520 Midra Dr
Lanham, MD 20706-3560

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1376614552

Kijung Bae Kang, LCPC's National Provider Identifier is 1376614552, issued on Nov 10, 2006. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Silver Spring, MD. The record was last updated on Aug 7, 2009.