person
Ms. Deborah Hideko Antonio, BA,RN
Mental Health Counselor in Pasadena, California
NPI 1396997839

Deborah Hideko Antonio is a Mental Health Counselor based in Burbank, CA and is specialized in Mental Health. Deborah Hideko Antonio practices in Pasadena, CA and has the professional credentials of BA,RN. The NPI Number for Deborah Hideko Antonio is 1396997839 and holds a License No. (California).

The current practice location address for Deborah Hideko Antonio is 2555 E Colorado Blvd, Pasadena, CA and can be reached out via phone at 626-577-2261 and via fax at 626-577-2543.

Location: 2555 E Colorado Blvd, Pasadena, CA, 91506-2716
person
Provider Profile Details
NPI Number
1396997839
Provider Name
Deborah Hideko Antonio
Credential
BA,RN
Provider Entity Type
Individual
Gender
Female
Address
2555 E Colorado Blvd, Pasadena, CA, 91506-2716
Phone Number
626-577-2261
Fax Number
626-577-2543
Provider Enumeration Date
10/15/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ICAN837 01 CA LA COUNTY DMH
institution
Provider Business Practice Location Address Details
Address
2555 E Colorado Blvd
City
State
Zip
91107-6622
Phone Number
626-577-2261
Fax Number
626-577-2543
person
Provider Business Mailing Address Details
Address
2555 E Colorado Blvd
City
State
Zip
91107-6622
Phone Number
626-577-2261
Fax Number
626-577-2543
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
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Definition
Definition to come...
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