Provider Demographics
NPI:1144830878
Name:NO, EUNICE YOON HA
Entity type:Individual
Prefix:
First Name:EUNICE
Middle Name:YOON HA
Last Name:NO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17081 W BERNARDO DR UNIT 108
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92127-1405
Mailing Address - Country:US
Mailing Address - Phone:858-414-5775
Mailing Address - Fax:858-414-5775
Practice Address - Street 1:17081 W BERNARDO DR UNIT 108
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92127-1405
Practice Address - Country:US
Practice Address - Phone:858-414-5775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-06
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CA144517106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program