Provider Demographics
NPI:1053679811
Name:YOO, YOUNG HEE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:YOUNG HEE
Middle Name:
Last Name:YOO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 303
Mailing Address - Street 2:BOX 48
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:96204-9998
Mailing Address - Country:US
Mailing Address - Phone:8220505-738-3880
Mailing Address - Fax:
Practice Address - Street 1:PSC 303
Practice Address - Street 2:BOX 48
Practice Address - City:APO
Practice Address - State:AP
Practice Address - Zip Code:96204-9998
Practice Address - Country:US
Practice Address - Phone:8220505-738-3880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-30
Last Update Date:2012-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490063941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL149006394OtherNASW