Kwangmin Joo
Counselor, Professional in Oakland, CA. Individual provider (NPI-1).
NPI number1710694708
StatusActive
Last updated in NPPESOct 31, 2022
Details
- NPI
- 1710694708
- Entity type
- Individual (NPI-1)
- Name
- Kwangmin Joo
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 31, 2022
- Certification date
- Oct 31, 2022
- Last updated
- Oct 31, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 11577 | CA | Yes |
Practice location
390 40th StOakland, CA 94609-2633
Phone 510-613-0330
Mailing address
390 40th StOakland, CA 94609-2633
Phone 510-613-0330
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