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NPI Code Detail

MEDICARE: OWEN HARLEMAN

MEDICARE: OWEN HARLEMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorCA

General Provider Information

NPI Number : 1427863158
Entity Type Code : Individual
Provider Name (Legal Business Name) : OWEN HARLEMAN
Provider Business Mailing Address
First Line : 2865 LOGAN AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92113-2411
Country : US
Telephone Number : 619-232-4357
Fax Number :
Provider Business Practice Location Address
First Line : 2865 LOGAN AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92113-2411
Country : US
Telephone Number : 619-232-4357
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2025
Last Update Date : 01/06/2026

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Directions to “ OWEN HARLEMAN ” Practice Location

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