Individual provider · Type 1 NPI

Eunsong Park, LMSW

Counselor · Buffalo, NY

NPI number 1912925702 Active

Practice location

359 Grider St
Buffalo, NY 14215-3016

Call (716) 895-7715 Map

Fax (716) 893-1692

Mailing address

525 Washington St, Managed Care Department
Buffalo, NY 14203-1711

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X066624 (NY)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1912925702

Eunsong Park, LMSW's National Provider Identifier is 1912925702, issued on Jul 18, 2006. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Buffalo, NY. The record was last updated on Jul 8, 2007.