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Individual
MEGAN CHRISTINA ICHINOSE
Active
Individual
MEGAN CHRISTINA ICHINOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
33408
CA
Other
Enumeration date
10/17/2016
Last updated
05/02/2024
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