Healthcare Provider Details

I. General information

NPI: 1922498419
Provider Name (Legal Business Name): DANIEL YOON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/04/2015
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6862 ELM ST STE 820
MC LEAN VA
22101-3868
US

IV. Provider business mailing address

6862 ELM ST STE 820
MC LEAN VA
22101-3868
US

V. Phone/Fax

Practice location:
  • Phone: 703-677-8243
  • Fax:
Mailing address:
  • Phone:
  • Fax: 978-922-0098

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0701016902
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: