# MS. MASAMI TANAKA KOLBENSCHLAG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1881879021
- **Gender:** F
- **Credential:** LMHC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | MH9277 | FL | Yes |

## Other

- **Enumeration date:** 01/07/2008
- **Last updated:** 05/01/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 454551121 | TRI-CARE (HUMANA HEALTHCARE) | FL |
| 01 | — | 60054 | AETNA | FL |
| 01 | — | Z148M | BCBSF | FL |
