Provider Demographics
NPI:1881125235
Name:MAENG, HYUNSOOK (LPC)
Entity type:Individual
Prefix:
First Name:HYUNSOOK
Middle Name:
Last Name:MAENG
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1543 261ST ST APT 106
Mailing Address - Street 2:
Mailing Address - City:HARBOR CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90710-3388
Mailing Address - Country:US
Mailing Address - Phone:718-316-2379
Mailing Address - Fax:
Practice Address - Street 1:1543 261ST ST APT 106
Practice Address - Street 2:
Practice Address - City:HARBOR CITY
Practice Address - State:CA
Practice Address - Zip Code:90710-3388
Practice Address - Country:US
Practice Address - Phone:718-316-2379
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-27
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001281101YM0800X
ORCC7768101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health