Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jisun Park, BA

Individual provider Mental Health Counselor · NPI 1386945459

Jisun Park, BA is a Mental Health Counselor in Mattoon, Illinois. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

750 Broadway Ave E
Mattoon, IL 61938-4610
Phone: (217) 238-5700
Fax: (217) 238-5767
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1386945459
Entity typeIndividual (Type 1)
GenderFemale
Credentials BA
Sole proprietorNo
NPI enumeratedNovember 5, 2010
Last updated in NPPESNovember 5, 2010
Mailing address750 Broadway Ave E, Mattoon, IL 61938-4610

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