Provider Demographics
NPI:1073729356
Name:HUNG, SHU FEN JJ (LMHC)
Entity Type:Individual
Prefix:
First Name:SHU FEN JJ
Middle Name:
Last Name:HUNG
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 E 6TH ST APT 15C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-6434
Mailing Address - Country:US
Mailing Address - Phone:646-262-2153
Mailing Address - Fax:
Practice Address - Street 1:430 E 6TH ST APT 15C
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009-6434
Practice Address - Country:US
Practice Address - Phone:646-262-2153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0079236101Y00000X
NY19875101YA0400X
NY003817101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health