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General NPI Number Information
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NPI Number | 1114769502
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Entity Type | Individual
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Provider Name | ELLEN H HSU MBA, MA, AMFT, APCC
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Gender | Female
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Dates
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Enumeration Date | 06/07/2024
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Last Update Date | 06/07/2024
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Provider Practice Location Address
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Address Line | 615 STATE ST STE B
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City | SANTA BARBARA
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State | CA
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Zip | 93101-3301
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Country | US
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Telephone | 805-312-8078
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Fax |
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Provider Business Mailing Address
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Address Line | 12305 MADERA ROAD, #358
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City | SIMI VALLEY
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State | CA
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Zip | 93065
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Country | US
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Telephone | 213-309-5598
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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 | APCC16618
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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 | AMFT146942
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License Number State | CA
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