Individual provider · Type 1 NPI

Andrew Jiho Park I, MA

Mental Health Counselor · Longview, WA

NPI number 1376957407 Active

Practice location

921 14th Ave
Longview, WA 98632-2316

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1376957407

Andrew Jiho Park I, MA's National Provider Identifier is 1376957407, issued on Jun 17, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Longview, WA. The record was last updated on Aug 17, 2015.