CorpID/LocID

Practitioner List:

 KOREATOWN YOUTH AND COMMUNITY CENTER, INC.
 3727 West 6th Street, Suite 411,
 Los Angeles, CA  90020

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First NameLast NamePractitioner TypeNPICalifornia License NumberCalifornia License TypeCultural Competence Training
HIROKOMAKIYAMA Licensed Clinical Social Worker (LCSW) 1891168241LCSW26404Board of Behavioral Sciences (LCSW, LPCC, LMFT)Yes
SOOHYUNBAEK PARK Licensed Eligible Practitioner working under the supervision of a Licensed Clinician 1013624899ASW108514Board of Behavioral Sciences (LCSW, LPCC, LMFT)Yes
WONLEE Licensed Eligible Practitioner working under the supervision of a Licensed Clinician 1093072910ASW113294Board of Behavioral Sciences (LCSW, LPCC, LMFT)Yes