Individual provider · Type 1 NPI

Shane Ige

Mental Health Counselor · Van Nuys, CA

NPI number 1235505041 Active

Practice location

15339 Saticoy St
Van Nuys, CA 91406-3345

Call (818) 267-2646 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XF2401027 (CA)
Mental Health Counselor Primary 101YM0800X78002 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1235505041

Shane Ige's National Provider Identifier is 1235505041, issued on Aug 16, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Van Nuys, CA. The record was last updated on Apr 30, 2018.