Individual provider · Type 1 NPI
Ellen Miyoung Park
Mental Health Counselor · Seattle, WA
NPI number
1528313863
Active
Practice location
3261 NE 100th St
Seattle, WA 98125-7816
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 1528313863
Ellen Miyoung Park's National Provider Identifier is 1528313863, issued on Jul 23, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Seattle, WA. The record was last updated on Nov 18, 2013.