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General NPI Number Information
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NPI Number | 1245470236
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Entity Type | Individual
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Provider Name | MICHELLE HEEJUNG KIM LMFT
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Gender | Female
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Dates
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Enumeration Date | 03/03/2009
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 595 E COLORADO BLVD STE 502
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City | PASADENA
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State | CA
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Zip | 91101-2017
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Country | US
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Telephone | 626-765-4262
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Fax | 626-469-4392
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Provider Business Mailing Address
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Address Line | 708 W SIERRA MADRE BLVD UNIT 40
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City | SIERRA MADRE
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State | CA
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Zip | 91024-2272
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Country | US
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Telephone | 626-765-4262
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Fax | 626-469-4392
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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 | 51341
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License Number State | CA
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