Individual provider · Type 1 NPI

Kyla Marika Jitsuye Lew

Mental Health Counselor · San Leandro, CA

NPI number 1740514488 Active

Practice location

2275 Arlington Dr
San Leandro, CA 94578-1132

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X73592 (CA)
Social Worker 104100000X73592 (CA)
Counselor 101Y00000XNone listed

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About NPI 1740514488

Kyla Marika Jitsuye Lew's National Provider Identifier is 1740514488, issued on Sep 29, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Leandro, CA. The record was last updated on Sep 22, 2016.