Wellformed AI

NPI 1356079164 · live from the CMS NPI Registry

Sun Young An, LPC

Counselor in Cordova, AK. National Provider Identifier 1356079164, active.

NPI record

NPI1356079164 Type 1 · individual
StatusActive
Primary specialtyCounselor 101Y00000X
Practice location705 Second St, Cordova, AK 99574
Practice phone907-424-3622
Mailing addressPo Box 2290, Cordova, AK 99574
EnumeratedAugust 10, 2022
Last updatedSeptember 24, 2024
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Counselor primary101Y00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.