Individual provider · Type 1 NPI

Gioux Ian Abad Mangulabnan, THERAPIST

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

NPI number 1710442702 Active

Practice location

1918 University Ave Ste 2B
Berkeley, CA 94704-3264

Call (510) 548-9716 Map

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Counselor 101Y00000XNone listed
Behavior Technician 106S00000XNone 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 1710442702

Gioux Ian Abad Mangulabnan, THERAPIST's National Provider Identifier is 1710442702, issued on Feb 5, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Berkeley, CA. The record was last updated on Sep 17, 2024.