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NPI Code Detail

MEDICARE: MRS. ALANA MODEL HEAVIRLAND MA

MEDICARE: MRS. ALANA MODEL HEAVIRLAND MA
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
1106H00000XMarriage & Family Therapist127123CA

General Provider Information

NPI Number : 1972102358
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ALANA MODEL HEAVIRLAND MA
Provider Business Mailing Address
First Line : 27281 LAS RAMBLAS STE 200
Second Line :
City : MISSION VIEJO
State : CA
Zip : 92691-8303
Country : US
Telephone Number : 949-328-3330
Fax Number :
Provider Business Practice Location Address
First Line : 27281 LAS RAMBLAS STE 200
Second Line :
City : MISSION VIEJO
State : CA
Zip : 92691-8303
Country : US
Telephone Number : 949-328-3330
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2020
Last Update Date : 02/15/2023

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Directions to “ MRS. ALANA MODEL HEAVIRLAND MA” Practice Location

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