Healthcare Provider Details

I. General information

NPI: 1669381786
Provider Name (Legal Business Name): YEEUN JEON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHLOE JEON APCC

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1480 S HARBOR BLVD STE 10
LA HABRA CA
90631-7572
US

IV. Provider business mailing address

2400 E LINCOLN AVE APT 184
ANAHEIM CA
92806-4261
US

V. Phone/Fax

Practice location:
  • Phone: 562-262-6808
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number23150
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: