Individual provider · Type 1 NPI
Justin Izumigawa
Mental Health Counselor · Corona, CA
NPI number
1316211568
Active
Practice location
2275 S Main St Ste 201
Corona, CA 92882-5303
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Worker | 172V00000X | None listed |
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1316211568
Justin Izumigawa's National Provider Identifier is 1316211568, issued on Mar 6, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Corona, CA. The record was last updated on Apr 25, 2016.