Namkoong, Jennifer Y

Namkoong, Jennifer Y is an sole proprietor health care provider with primary practice located at 3550 Parkwood Blvd Ste 201A , Frisco TX 75034-2048. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Namkoong, Jennifer Y can be contacted via phone (425) 435-6180.

Contact Information

Primary practice address
3550 Parkwood Blvd Ste 201A Frisco TX 75034-2048
Phone: (425) 435-6180
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 14122 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 78423 Texas

Profile Details

NPI number 1093849978
LBN Legal business name Namkoong, Jennifer Y
Credentials LPC, LCDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2007
Last updated Mar 17th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093849978 NPPES
Illinois Other 04932190 BLUE CROSS BLUE SHIELD
Illinois Other 1093849978 BLUE CROSS BLUE SHIELD

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