Individual provider · Type 1 NPI

Grace Itsuko Manago

Mental Health Counselor · Vacaville, CA

NPI number 1336204601 Active

Practice location

413 Woodhaven Dr
Vacaville, CA 95687-5941

Call (707) 678-5614 Map

Fax (707) 678-4690

Mailing address

5063 Midway Rd, 413 Woodhaven Dr
Vacaville, CA 95688-9697

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1336204601

Grace Itsuko Manago's National Provider Identifier is 1336204601, issued on Dec 27, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vacaville, CA. The record was last updated on Jul 8, 2007.