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NPI 1033781638

NPI 1033781638 : HAELINN SEU : BROOKLYN, NY

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General NPI Number Information
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    NPI Number           |    1033781638
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    Entity Type          |    Individual 
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    Provider Name        |    HAELINN SEU
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/13/2021
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    Last Update Date     |    01/19/2022
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Provider Practice Location Address
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    Address Line         |    309 GOLD ST APT 24B 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11201-1296
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    Country              |    US
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    Telephone            |    929-270-7609
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    468 PROSPECT PL APT 3 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11238-4153
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    Country              |    US
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    Telephone            |    929-270-7609
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    009496
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    License Number State |    NY
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