Individual provider · Type 1 NPI

Patrick Imamura

Mental Health Counselor · Gardena, CA

NPI number 1124483797 Active

Practice location

108 W Victoria St
Gardena, CA 90248-3523

Mailing address

13510 Droxford St
Cerritos, CA 90703-6332

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XASW63238 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1124483797

Patrick Imamura's National Provider Identifier is 1124483797, issued on Dec 23, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gardena, CA. The record was last updated on Dec 23, 2015.