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Eunsong Park, LMSW
Counselor in Buffalo, New York
NPI 1912925702

Eunsong Park is a Counselor based in Buffalo, NY. Eunsong Park practices in Buffalo, NY and has the professional credentials of LMSW. The NPI Number for Eunsong Park is 1912925702 and holds a License No. 066624 (New York).

The current practice location address for Eunsong Park is 359 Grider St, Buffalo, NY and can be reached out via phone at 716-895-7715 and via fax at 716-893-1692.

Location: 359 Grider St, Buffalo, NY, 14203-1711
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912925702
Provider Name
Eunsong Park
Credential
LMSW
Provider Entity Type
Individual
Gender
Female
Address
359 Grider St, Buffalo, NY, 14203-1711
Phone Number
716-895-7715
Fax Number
716-893-1692
Provider Enumeration Date
07/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00030241501 01 NY UNIVERA
000506354004 01 NY COMMUNITY BLUE
institution
Provider Business Practice Location Address Details
Address
359 Grider St
City
Buffalo
State
New York
Zip
14215-3016
Phone Number
716-895-7715
Fax Number
716-893-1692
person
Provider Business Mailing Address Details
Address
359 Grider St
City
Buffalo
State
New York
Zip
14215-3016
Phone Number
716-895-7715
Fax Number
716-893-1692
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
066624 (New York)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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