JUDITH JUSTIN PARK NPI 1285963694

NPI Information

NPI: 1285963694
Provider Name: JUDITH JUSTIN PARK
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1870 CORDELL CT
SUITE 101
EL CAJON, CA
ZIP 92020
Phone: (619) 448-9700
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Judith Justin Park is a mental health counselor in El Cajon, CA. Judith Justin Park NPI is 1285963694. 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:

1870 CORDELL CT
SUITE 101
EL CAJON, CA
ZIP 92020-914
Phone: (619) 448-9700
Fax: (619) 448-9711

The enumeration date for this NPI number is 12/14/2009 and was last updated on 12/14/2009.

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	IMF 57669	CALIFORNIA	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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