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NPI Code Detail

MEDICARE: HELEN EVERBACH

MEDICARE:   HELEN  EVERBACH
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 : 1912878174
Entity Type Code : Individual
Provider Name (Legal Business Name) : HELEN EVERBACH
Provider Business Mailing Address
First Line : 4124 18TH ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94114-2408
Country : US
Telephone Number : 415-200-2119
Fax Number :
Provider Business Practice Location Address
First Line : 267 VIENNA ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94112-2127
Country : US
Telephone Number : 610-937-0091
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2025
Last Update Date : 09/12/2025

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Directions to “ HELEN EVERBACH ” Practice Location

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