Provider Demographics
NPI:1073247177
Name:PAK, HYE JOON
Entity Type:Individual
Prefix:
First Name:HYE JOON
Middle Name:
Last Name:PAK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 N WESTMORELAND ST UNIT 427
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22213-1051
Mailing Address - Country:US
Mailing Address - Phone:240-401-4952
Mailing Address - Fax:
Practice Address - Street 1:2200 N WESTMORELAND ST UNIT 427
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22213-1051
Practice Address - Country:US
Practice Address - Phone:240-401-4952
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-13
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health