Provider Demographics
NPI:1184841215
Name:CHOI, HEATHER HAE JIN (LCSW)
Entity Type:Individual
Prefix:MISS
First Name:HEATHER
Middle Name:HAE JIN
Last Name:CHOI
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:PO BOX 501
Mailing Address - Street 2:
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90707-0501
Mailing Address - Country:US
Mailing Address - Phone:562-824-2480
Mailing Address - Fax:
Practice Address - Street 1:9636 MAPLE STREET
Practice Address - Street 2:
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-5612
Practice Address - Country:US
Practice Address - Phone:562-824-2480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2023-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA845401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical