Provider Demographics
NPI:1104410422
Name:CHOI, HAEUN (MA, ALMFT)
Entity type:Individual
Prefix:
First Name:HAEUN
Middle Name:
Last Name:CHOI
Suffix:
Gender:F
Credentials:MA, ALMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3411 N KENNICOTT AVE STE C
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-7813
Mailing Address - Country:US
Mailing Address - Phone:833-710-7770
Mailing Address - Fax:
Practice Address - Street 1:3411 N KENNICOTT AVE STE C
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-7813
Practice Address - Country:US
Practice Address - Phone:833-710-7770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-26
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL208-000889106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist