Individual provider · Type 1 NPI

Mark Kim, LMHC

Mental Health Counselor · Melbourne, FL

NPI number 1649580002 Active

Practice location

1600 W Eau Gallie Blvd, Suite 201U
Melbourne, FL 32935-4149

Call (626) 430-8472 Map

Mailing address

1654 Ficus Point Dr
Melbourne, FL 32940-1530

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X7246634 (NY)
Mental Health Counselor Primary 101YM0800XMH 13682 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1649580002

Mark Kim, LMHC's National Provider Identifier is 1649580002, issued on Oct 19, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Melbourne, FL. The record was last updated on Sep 16, 2015.