Heasuk Bae MFT

NPI 1346665247 - Counselor - 101YM0800X

NPI Details
NPI 1346665247
Gender Female
Enumeration Date 02/28/2014
Last Updated 02/28/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
1169 FAIRWAY DR STE 205
WALNUT CA, 91789-2847, US
Phone (909) 938-4716
Fax (818) 813-9586
Business Location
840 LAKE AVE
LA VERNE CA, 91750-1846, US
Phone (909) 938-4716
Fax (818) 813-9586
Toxanomy
Taxonomy Code 101YM0800X
License State California
License Number MFC48583
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According to our database, Heasuk Bae MFT NPI is 1346665247, taxonomy code is 101YM0800X and license number is MFC48583, license state is located at California. Heasuk Bae MFT physically located at 1169 Fairway Dr Ste 205, Walnut CA, 91789-2847. NPI Number Heasuk Bae MFT has the Individual type.

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1346665247 NPI number is provided on an as is basis without warranty of any kind. 1346665247 is maintained by the National Plan & Provider Enumeration System. The contents of Heasuk Bae MFT are for informational purposes only.