Individual
MANABU KANEKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1011 CAMINO DEL RIO S STE 300, SAN DIEGO, CA 92108-3567
(619) 287-8225
Mailing address
1011 CAMINO DEL RIO S STE 300, SAN DIEGO, CA 92108-3567
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
20066
CA
225C00000X
Rehabilitation Counselor
745590
—
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
07/23/2025
Last updated
07/30/2025
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