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NPI Code Detail

MEDICARE: JOHN F. JUNG LPCC

MEDICARE: JOHN F. JUNG LPCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorE-0095OH

General Provider Information

NPI Number : 1194854133
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN F. JUNG LPCC
Provider Business Mailing Address
First Line : 7695 S COUNTY ROAD 25A
Second Line :
City : TIPP CITY
State : OH
Zip : 45371-9215
Country : US
Telephone Number : 937-667-4678
Fax Number : 937-667-4963
Provider Business Practice Location Address
First Line : 7695 S COUNTY ROAD 25A
Second Line :
City : TIPP CITY
State : OH
Zip : 45371-9215
Country : US
Telephone Number : 937-667-4678
Fax Number : 937-667-4963
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2007
Last Update Date : 07/08/2007

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