Provider Demographics
NPI:1790914505
Name:POPPER, MOR XIONG (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MOR
Middle Name:XIONG
Last Name:POPPER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1960 N. GATEWAY BLVD
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93727
Mailing Address - Country:US
Mailing Address - Phone:559-266-5200
Mailing Address - Fax:559-266-5201
Practice Address - Street 1:HEALING HOPE, INC.
Practice Address - Street 2:1960 N. GATEWAY BLVD
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93727
Practice Address - Country:US
Practice Address - Phone:559-266-5200
Practice Address - Fax:559-266-5201
Is Sole Proprietor?:No
Enumeration Date:2009-07-14
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW782831041C0700X, 101YM0800X
101YM0800X
CA782821041C0700X
CALCSW1187971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health