Mr Young Kwang Ju, - Counselor in San Diego, CA

Mr Young Kwang Ju, is a Counselor - Mental Health based in San Diego, California. Mr Young Kwang Ju is licensed to practice in * (Not Available) (license number ) and his current practice location is 1202 Morena Blvd Ste 203, San Diego, California. He can be reached at his office (for appointments etc.) via phone at (619) 398-3261.

NPI number for Mr Young Kwang Ju is 1164741682 and his current mailing address is 1202 Morena Blvd Ste 203, San Diego, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164741682.

Contact Information

Mr Young Kwang Ju,
1202 Morena Blvd Ste 203,
San Diego, CA 92110-3843
(619) 398-3261
(619) 275-2023

Map and Direction


Healthcare Provider's Profile

Full NameMr Young Kwang Ju
GenderMale
SpecialityCounselor - Mental Health
Location1202 Morena Blvd Ste 203, San Diego, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1164741682
  • Provider Enumeration Date: 05/24/2010
  • Last Update Date: 10/22/2011

Medical Identifiers

Medical identifiers for Mr Young Kwang Ju such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164741682NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
106H00000XMarriage & Family Therapist (* (Not Available))Secondary
101YM0800XCounselor - Mental Health (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Young Kwang Ju is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Young Kwang Ju,
1202 Morena Blvd Ste 203,
San Diego, CA 92110-3843

Ph: (619) 398-3261
Mr Young Kwang Ju,
1202 Morena Blvd Ste 203,
San Diego, CA 92110-3843

Ph: (619) 398-3261

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