NATHAN JOON PARK MED
NPI 1760239867
Counselor - Mental Health in Oakton, VA
Active since May 06, 2024
2960 CHAIN BRIDGE RD STE 200, OAKTON, VA 22124(703) 490-0336(703) 490-4525 Get Directions Write a Review
About Nathan Joon Park Med NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NATHAN JOON PARK MED (NPI 1760239867) is an individual mental health provider in Oakton, Virginia and active in the NPI registry since May 2024.
NPPES Registry Identity
NPI1760239867
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameNATHAN JOON PARKCredential: MED
Location Address2960 CHAIN BRIDGE RD STE 200Oakton, VA 22124-3040
Mailing Address4383 Patriot Park CtFairfax, VA 22030-4333 · (703) 975-0095
Phone(703) 490-0336
Fax(703) 490-4525
Sole ProprietorNo
Enumeration DateMay 6, 2024
NPPES CertifiedMay 6, 2024
✔ NPI 1760239867 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2960 CHAIN BRIDGE RD STE 200, Oakton, VA 22124
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760239867, enumerated as an "individual" on May 06, 2024.
The provider is located at 2960 CHAIN BRIDGE RD STE 200 OAKTON, VA 22124 and the phone number is (703) 490-0336.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
