person
Shirley Theodora Omlin, 00501011536
Mental Health Counselor in Santa Ana, California
NPI 1174063762

Shirley Theodora Omlin is a Mental Health Counselor based in Santa Ana, CA and is specialized in Mental Health. Shirley Theodora Omlin practices in Santa Ana, CA and has the professional credentials of 00501011536. The NPI Number for Shirley Theodora Omlin is 1174063762 and holds a License No. 00501011536 (California).

The current practice location address for Shirley Theodora Omlin is 2101 E 1St St, Santa Ana, CA and can be reached out via phone at 714-542-3581 and via fax at 714-542-2246.

Location: 2101 E 1St St, Santa Ana, CA, 92705-4007
person
Provider Profile Details
NPI Number
1174063762
Provider Name
Shirley Theodora Omlin
Credential
00501011536
Provider Entity Type
Individual
Gender
Female
Address
2101 E 1St St, Santa Ana, CA, 92705-4007
Phone Number
714-542-3581
Fax Number
714-542-2246
Provider Enumeration Date
03/01/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1215030861 01 CA MEDICAL
institution
Provider Business Practice Location Address Details
Address
2101 E 1St St
City
State
Zip
92705-4007
Phone Number
714-542-3581
Fax Number
714-542-2246
person
Provider Business Mailing Address Details
Address
2101 E 1St St
City
State
Zip
92705-4007
Phone Number
714-542-3581
Fax Number
714-542-2246
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
00501011536 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
00501011536 (California)
Definition
Definition to come...
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