Provider Demographics
NPI:1255829479
Name:JUNG, HYEYOUNG (LCSW)
Entity type:Individual
Prefix:
First Name:HYEYOUNG
Middle Name:
Last Name:JUNG
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:JASMINE
Other - Middle Name:
Other - Last Name:JUNG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:2271 W MALVERN AVE # 319
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92833-2106
Mailing Address - Country:US
Mailing Address - Phone:323-823-8563
Mailing Address - Fax:
Practice Address - Street 1:3333 S BREA CANYON RD
Practice Address - Street 2:STE 107
Practice Address - City:DIAMOND BAR
Practice Address - State:CA
Practice Address - Zip Code:91765-3782
Practice Address - Country:US
Practice Address - Phone:323-823-8563
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-24
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW796211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical