MR. YOUNG KWANG JU NPI 1164741682

NPI Information

NPI: 1164741682
Provider Name: MR. YOUNG KWANG JU
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1202 MORENA BLVD STE 203
SAN DIEGO, CA
ZIP 92110
Phone: (619) 398-3261
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MR. Young Kwang Ju is a mental health counselor in San Diego, CA. MR. Young Kwang Ju NPI is 1164741682. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1202 MORENA BLVD STE 203
SAN DIEGO, CA
ZIP 92110-843
Phone: (619) 398-3261
Fax: (619) 275-2023

The enumeration date for this NPI number is 5/24/2010 and was last updated on 10/22/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	106H00000X	Marriage & Family Therapist				No
2	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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