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Individual
DR. KENJI CHRISTIAN MIYAMOTO
Active
Individual
DR. KENJI CHRISTIAN MIYAMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
35078
CA
Other
Enumeration date
01/09/2014
Last updated
06/07/2024
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