DR. KYULEE PARK PHD LPC NCC NPI 1477170009

NPI Information

NPI: 1477170009
Provider Name: DR. KYULEE PARK, PHD, LPC, NCC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
825 FAIRFAX AVE STE 206
NORFOLK, VA
ZIP 23507
Phone: (757) 446-5955
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DR. Kyulee Park, PHD, LPC, NCC is a professional counselor in Norfolk, VA. DR. Kyulee Park, PHD, LPC, NCC NPI is 1477170009. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

825 FAIRFAX AVE STE 206
NORFOLK, VA
ZIP 23507-912
Phone: (757) 446-5955

The enumeration date for this NPI number is 6/30/2020 and was last updated on 11/10/2020.

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	101YM0800X	Counselor	Mental Health	0704009831	VIRGINIA	No
2	101YM0800X	Counselor	Mental Health	0701010068	VIRGINIA	No
3	101YP2500X	Counselor	Professional	0701010068	VIRGINIA	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: 11/14/2023

NPI Synchronization or Removal

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