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Individual
ETHAN TONOMURA
Active
Individual
ETHAN TONOMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
160594
CA
106H00000X
Marriage & Family Therapist
Primary
160594
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Enumeration date
07/10/2019
Last updated
08/13/2026
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