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Provider Information for 1205587169


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HEIDI ANNE LAHL


Sex: Female

NPI: 1205587169
Last Updated: 2024-05-01
Certification Date: 2024-05-01

Details

NameValue
NPI1205587169
Enumeration Date2022-01-12
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address PO BOX 156814
SAN FRANCISCO, CA 94115-6814
United States

Phone: 707-685-6943 | Fax:
 
Primary Practice Address PO BOX 156814
SAN FRANCISCO, CA 94115-6814
United States

Phone: 707-685-6943 | Fax:
 
Secondary Practice Address(es)

224 KAMEHAMEHA AVE
HILO, HI 96720-2860
United States

Phone: 707-685-6943 | Fax:
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
CONNECT URL
Desktop
Desktop
Direct CSV PO Box 156814
San Francisco, CA 94115-6814
United States
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101YM0800X - Counselor - Mental HealthHI
Yes 106H00000X - Marriage & Family Therapist HI902-0