Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shirley Theodora Omlin, 00501011536

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1174063762

Shirley Theodora Omlin, 00501011536 is an Addiction (Substance Use Disorder) Counselor in Santa Ana, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

2101 E 1st St
Santa Ana, CA 92705-4007
Phone: (714) 542-3581
Fax: (714) 542-2246
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 00501011536 (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 00501011536 (CA)

Record details

NPI number1174063762
Entity typeIndividual (Type 1)
GenderFemale
Credentials 00501011536
Sole proprietorYes
NPI enumeratedMarch 1, 2017
Last updated in NPPESMarch 1, 2017

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