Individual provider · Type 1 NPI
Myrtle MC Intosh Kalugin
Mental Health Counselor · La Mirada, CA
NPI number
1609423268
Active
Practice location
13710 La Mirada Blvd
La Mirada, CA 90638-3028
Fax (562) 902-2962
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LMFT48824 (CA) |
Mental Health Counselor: Definition to come...
3 other providers at this address
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About NPI 1609423268
Myrtle MC Intosh Kalugin's National Provider Identifier is 1609423268, issued on Aug 19, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in La Mirada, CA. The record was last updated on Aug 19, 2019.