MEDICARE: JUNG HYUN PH.D., LPC, ACS, NCC

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
1	101Y00000X	Counselor		GA
2	101YP2500X	Professional Counselor
3	101YM0800X	Mental Health Counselor	LPC015159	GA

General Provider Information

NPI Number	:	1518815141
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUNG HYUN PH.D., LPC, ACS, NCC

Provider Business Mailing Address
First Line	:	371 GRANT CIR SE APT 1814
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30315-2223
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	371 GRANT CIR SE APT 1814
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30315-2223
Country	:	US
Telephone Number	:	770-744-4904
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2026
Last Update Date	:	03/19/2026

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