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NPI Code Detail

MEDICARE: MS. YUNJEONG KIM LMSW

MEDICARE:  MS. YUNJEONG  KIM  LMSW
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 Counselor

General Provider Information

NPI Number : 1356547178
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. YUNJEONG KIM LMSW
Provider Business Mailing Address
First Line : 45-13 74STREET 3RD FL.
Second Line :
City : ELMHURST
State : NY
Zip : 11373
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 119 SCHENECTADY AVE FL 3
Second Line :
City : BROOKLYN
State : NY
Zip : 11213-2330
Country : US
Telephone Number : 347-915-1112
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2007
Last Update Date : 05/28/2019

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Directions to “ MS. YUNJEONG KIM LMSW” Practice Location

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