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Provider Information for 1134944929


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EUNJOO LEE-CHOI LPC


Sex: Female

NPI: 1134944929
Last Updated: 2024-11-18
Certification Date: 2024-11-18

Details

NameValue
NPI1134944929
Enumeration Date2024-11-18
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 870 GREENBRIER CIR STE 404
CHESAPEAKE, VA 23320-2535
United States

Phone: 757-427-4425 | Fax:
 
Primary Practice Address 870 GREENBRIER CIR STE 404
CHESAPEAKE, VA 23320-2535
United States

Phone: 757-427-4425 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YM0800X - Counselor - Mental HealthVA0701014213