Provider Demographics
NPI:1184912479
Name:CHO, SUNSOON EUNSOOK (LCPC)
Entity type:Individual
Prefix:MS
First Name:SUNSOON
Middle Name:EUNSOOK
Last Name:CHO
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14804 PHYSICIANS LN
Mailing Address - Street 2:SUITE 122
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-3941
Mailing Address - Country:US
Mailing Address - Phone:301-424-7700
Mailing Address - Fax:301-424-0305
Practice Address - Street 1:14804 PHYSICIANS LN
Practice Address - Street 2:SUITE 122
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3941
Practice Address - Country:US
Practice Address - Phone:301-424-7700
Practice Address - Fax:301-424-0305
Is Sole Proprietor?:No
Enumeration Date:2011-07-20
Last Update Date:2011-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC4075101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional