| Jina Park, Lcsw Llc | |
|
24 W Railroad Ave Unit 136 Tenafly NJ 07670-1752 | |
| (562) 708-6558 | |
| Not Available |
| Full Name | Jina Park, Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 24 W Railroad Ave Unit 136, Tenafly, New Jersey |
| Authorized Official Name and Position | Jina Park (OWNER) |
| Authorized Official Contact | 5627086558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jina Park, Lcsw Llc 24 W Railroad Ave Unit 136 Tenafly NJ 07670-1752 Ph: (562) 708-6558 | Jina Park, Lcsw Llc 24 W Railroad Ave Unit 136 Tenafly NJ 07670-1752 Ph: (562) 708-6558 |
| NPI Number | 1003665282 |
|---|---|
| Provider Enumeration Date | 05/18/2024 |
| Last Update Date | 05/18/2024 |
| Certification Date | 05/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003665282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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