Individual provider · Type 1 NPI
Shizuyo Ichikawa-Ha
Mental Health Counselor · Millbury, MA
NPI number
1073970869
Active
Practice location
24 Forest Dr
Millbury, MA 01527-3014
Mailing address
PO Box 137
Grafton, MA 01519-0137
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Mental Health Counselor Primary | 101YM0800X | 13191 (MA) |
Mental Health Counselor: Definition to come...
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About NPI 1073970869
Shizuyo Ichikawa-Ha's National Provider Identifier is 1073970869, issued on Jan 25, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Millbury, MA. The record was last updated on Dec 4, 2022.