Individual provider · Type 1 NPI
Chi Soo Park
Mental Health Counselor · Chicago, IL
NPI number
1497325286
Active · reactivated Feb 14, 2023
Practice location
70 E Lake St Side 2
Chicago, IL 60601-5913
Mailing address
2851 S King Dr Apt 1308
Chicago, IL 60616-2937
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1497325286
Chi Soo Park's National Provider Identifier is 1497325286, issued on Jun 25, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Feb 14, 2023.