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Ms. Diane Hira Rose, MA,LMFT
Mental Health Counselor in Berkeley, California
NPI 1750615449

Diane Hira Rose is a Mental Health Counselor based in Berkeley, CA and is specialized in Mental Health. Diane Hira Rose practices in Berkeley, CA and has the professional credentials of MA,LMFT. The NPI Number for Diane Hira Rose is 1750615449 and holds a License No. MFT14248 (California).

The current practice location address for Diane Hira Rose is 1226A Bonita Ave, Berkeley, CA and can be reached out via phone at 510-525-8056.

Location: 1226A Bonita Ave, Berkeley, CA, 94709-1923
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750615449
Provider Name
Diane Hira Rose
Credential
MA,LMFT
Provider Entity Type
Individual
Gender
Female
Address
1226A Bonita Ave, Berkeley, CA, 94709-1923
Phone Number
510-525-8056
Fax Number
Provider Enumeration Date
09/28/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
241345 01 CA VALUE OPTIONS
institution
Provider Business Practice Location Address Details
Address
1226A Bonita Ave
City
Berkeley
State
California
Zip
94709-1923
Phone Number
510-525-8056
Fax Number
person
Provider Business Mailing Address Details
Address
1226A Bonita Ave
City
Berkeley
State
California
Zip
94709-1923
Phone Number
510-525-8056
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MFT14248 (California)
Definition
Definition to come...
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