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Eunmi Park
Mental Health Counselor in Watertown, New York
NPI 1376189118

Eunmi Park is a Mental Health Counselor based in Watertown, NY and is specialized in Mental Health. Eunmi Park practices in Watertown, NY. The NPI Number for Eunmi Park is 1376189118 and holds a License No. (New York).

The current practice location address for Eunmi Park is 211 J.b. Wise Plaza, Watertown, NY and can be reached out via phone at 315-782-7445 and via fax at 315-779-1184.

Location: 211 J.b. Wise Plaza, Watertown, NY, 13601-6550
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376189118
Provider Name
Eunmi Park
Credential
Provider Entity Type
Individual
Gender
Female
Address
211 J.b. Wise Plaza, Watertown, NY, 13601-6550
Phone Number
315-782-7445
Fax Number
315-779-1184
Provider Enumeration Date
11/26/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
211 J.b. Wise Plaza
City
Watertown
State
New York
Zip
13601
Phone Number
315-782-7445
Fax Number
315-779-1184
person
Provider Business Mailing Address Details
Address
211 J.b. Wise Plaza
City
Watertown
State
New York
Zip
13601
Phone Number
315-782-7445
Fax Number
315-779-1184
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
P103873-01 ()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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