JUDITH JUSTIN PARK NPI 1285963694

NPI Information

  • NPI: 1285963694
  • Provider Name: JUDITH JUSTIN PARK
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 1870 CORDELL CT
    SUITE 101
    EL CAJON, CA
    ZIP 92020
  • Phone: (619) 448-9700

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NPI Details

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
1101YM0800XCounselorMental HealthIMF 57669CALIFORNIAYes

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: 11/21/2025

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