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Nathasa Tjahjadi
Mental Health Counselor in Anaheim, California
NPI 1689237976

Nathasa Tjahjadi is a Mental Health Counselor based in Anaheim, CA and is specialized in Mental Health. Nathasa Tjahjadi practices in Anaheim, CA. The NPI Number for Nathasa Tjahjadi is 1689237976 and holds a License No. (California).

The current practice location address for Nathasa Tjahjadi is 2531 W Woodland Dr, Anaheim, CA and can be reached out via phone at 714-226-9888.

Location: 2531 W Woodland Dr, Anaheim, CA, 92801-2637
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689237976
Provider Name
Nathasa Tjahjadi
Credential
Provider Entity Type
Individual
Gender
Female
Address
2531 W Woodland Dr, Anaheim, CA, 92801-2637
Phone Number
714-226-9888
Fax Number
Provider Enumeration Date
04/22/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2531 W Woodland Dr
City
Anaheim
State
California
Zip
92801-2637
Phone Number
714-226-9888
Fax Number
person
Provider Business Mailing Address Details
Address
2531 W Woodland Dr
City
Anaheim
State
California
Zip
92801-2637
Phone Number
714-226-9888
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(California)
Definition
Definition to come...
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