Individual provider · Type 1 NPI

Marc Kawanaga

Mental Health Counselor · Los Angeles, CA

NPI number 1003605957 Active

Practice location

4221 Wilshire Blvd Ste 230
Los Angeles, CA 90010-3554

Call (213) 505-4307 Map

Mailing address

11830 Courtleigh Dr Apt 208
Los Angeles, CA 90066-5560

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1003605957

Marc Kawanaga's National Provider Identifier is 1003605957, issued on May 6, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Los Angeles, CA. The record was last updated on May 6, 2025.