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General NPI Number Information
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NPI Number | 1811682172
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Entity Type | Organization
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Legal Business Name | PRESENT MOMENT WELLNESS, PROFESSIONAL CORPORATION: LICENSED CLINICAL SOCIAL WORKER
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Dates
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Enumeration Date | 04/11/2023
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 2140 SUTTER ST STE 2
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-3120
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Country | US
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Telephone | 844-949-6636
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Fax |
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Provider Business Mailing Address
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Address Line | 1630 S. DELAWARE STREET 25358
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City | SAN MATEO
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State | CA
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Zip | 94402-6643
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Country | US
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Telephone | 844-949-6636
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JIEWEN HUANG
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Credential |
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Telephone | 628-800-4481
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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