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Individual
MS. MASAMI TANAKA KOLBENSCHLAG
Active
Individual
MS. MASAMI TANAKA KOLBENSCHLAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH9277
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
454551121
TRI-CARE (HUMANA HEALTHCARE)
FL
01
—
60054
AETNA
FL
01
—
Z148M
BCBSF
FL
Enumeration date
01/07/2008
Last updated
05/01/2012
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