Individual
ELIZABETH KATHERINE IHNATOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 CIRBY HILLS DR, ROSEVILLE, CA 95678-4360
(916) 787-8944
Mailing address
101 CIRBY HILLS DR, ROSEVILLE, CA 95678-4360
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
16502
CA
Other
Enumeration date
07/10/2023
Last updated
10/02/2024
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