Provider Information for 1417626748
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MI JUNG YOU LMHC
Sex: Female
NPI: 1417626748
Last Updated: 2022-09-26
Certification Date: 2022-09-26
Certification Date: 2022-09-26
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1417626748 | ||||||||||||||
| Enumeration Date | 2021-09-09 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | YES | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 11611 CURZON RD APT 6A RICHMOND HILL, NY 11418-3496 United States Phone: 917-497-4024 | Fax: | ||||||||||||||
| Primary Practice Address | 4332 22ND ST STE 203 LONG ISLAND CITY, NY 11101-5077 United States Phone: 917-497-4024 | Fax: | ||||||||||||||
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