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NPI Code Detail

MEDICARE: SUNKYUNG CHUNG LPC

MEDICARE: SUNKYUNG CHUNG LPC
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
1101YP2500XProfessional Counselor68870TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
168870OTHERTXLICENSED PROFESSIONAL COUNSELOR

General Provider Information

NPI Number : 1831507938
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUNKYUNG CHUNG LPC
Provider Business Mailing Address
First Line : 16414 SAN PEDRO AVE STE 710
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78232-2247
Country : US
Telephone Number : 210-248-9622
Fax Number : 210-233-1341
Provider Business Practice Location Address
First Line : 16414 SAN PEDRO AVE STE 710
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78232-2247
Country : US
Telephone Number : 210-248-9622
Fax Number : 210-233-1341
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2014
Last Update Date : 08/01/2014

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Directions to “ SUNKYUNG CHUNG LPC” Practice Location

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