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NPI 1043640022

NPI 1043640022 : HELEN UMIE RO MA : ANAHEIM, CA

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General NPI Number Information
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    NPI Number           |    1043640022
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    Entity Type          |    Individual 
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    Provider Name        |    HELEN UMIE RO MA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/12/2013
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    Last Update Date     |    03/29/2024
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Provider Practice Location Address
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    Address Line         |    901 S HARVARD CIR 
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    City                 |    ANAHEIM
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    State                |    CA
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    Zip                  |    92807-5020
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    Country              |    US
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    Telephone            |    714-801-7017
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 17314 
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    City                 |    ANAHEIM
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    State                |    CA
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    Zip                  |    92817-7314
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    Country              |    US
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    Telephone            |    714-801-7017
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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        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    LMFT118531
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    118531
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    License Number State |    CA
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