Individual provider · Type 1 NPI

Katelyn Mary Ewanich

Mental Health Counselor · San Leandro, CA

NPI number 1215540992 Active

Practice location

2275 Arlington Dr
San Leandro, CA 94578-1132

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Mental Health Counselor Primary 101YM0800X121208 (CA)

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About NPI 1215540992

Katelyn Mary Ewanich's National Provider Identifier is 1215540992, issued on Aug 24, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Leandro, CA. The record was last updated on Jan 24, 2021.