Provider Demographics
NPI:1114750007
Name:CHOI, ISAAC K (LPC)
Entity type:Individual
Prefix:
First Name:ISAAC
Middle Name:K
Last Name:CHOI
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:870 GREENBRIER CIR STE 404
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-2535
Mailing Address - Country:US
Mailing Address - Phone:929-385-1403
Mailing Address - Fax:
Practice Address - Street 1:870 GREENBRIER CIR STE 404
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-2535
Practice Address - Country:US
Practice Address - Phone:929-385-1403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701013893101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health