Individual provider · Type 1 NPI

Simon Kiyoshi Hara

Student in an Organized Health Care Education/Training Program · San Rafael, CA

NPI number 1285166736 Active

Practice location

1330 Lincoln Ave., #201 Community Institute For Psychotherapy
San Rafael, CA 99401-2141

Call (415) 459-5999 Map

Fax (415) 459-5602

Mailing address

1000 Ventura Ave
Albany, CA 94706-2529

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1285166736

Simon Kiyoshi Hara's National Provider Identifier is 1285166736, issued on Apr 3, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Rafael, CA. The record was last updated on Apr 3, 2017.