Provider Demographics
NPI:1093606253
Name:WON, SANG JOON (LMFT, AAMFT, CPE)
Entity type:Individual
Prefix:
First Name:SANG JOON
Middle Name:
Last Name:WON
Suffix:
Gender:M
Credentials:LMFT, AAMFT, CPE
Other - Prefix:
Other - First Name:TIMOTHY
Other - Middle Name:
Other - Last Name:WON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MDIV,
Mailing Address - Street 1:5317 CICERO DR
Mailing Address - Street 2:
Mailing Address - City:BELTON
Mailing Address - State:TX
Mailing Address - Zip Code:76513-2403
Mailing Address - Country:US
Mailing Address - Phone:910-495-3184
Mailing Address - Fax:
Practice Address - Street 1:5317 CICERO DR
Practice Address - Street 2:
Practice Address - City:BELTON
Practice Address - State:TX
Practice Address - Zip Code:76513-2403
Practice Address - Country:US
Practice Address - Phone:910-495-3184
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-14
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1882106H00000X
TX205291106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty