Heasuk Bae, MFT Valid NPI
Individual provider · Mental Health Counselor · Diamond Bar, CA
- NPI
- 1346665247
- Type
- Individual (Type 1)
- Primary specialty
- Mental Health Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YM0800X
- License number
- LMFT48583 (CA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2014-02-28
- Last updated
- 2018-08-30
Practice location
20955 Pathfinder Rd Ste 100
Diamond Bar, CA 91765
(909) 938-4716