Dr. Chan Young Park
Dr. Chan Young Park is a Professional Counselor in Fairfax, Virginia. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
3915 Old Lee Hwy # 234Fairfax, VA 22030-2432
Phone: (703) 259-5617
Fax: (703) 552-2037
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X |
|---|
Record details
| NPI number | 1154044428 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 22, 2022 |
| Last updated in NPPES | September 22, 2022 |
| Certification date | September 22, 2022 |
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