Individual
KAZUNA NAKAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
414 E 2ND ST, O FALLON, IL 62269-2134
(224) 220-7291
Mailing address
414 E 2ND ST, O FALLON, IL 62269-2134
(224) 220-7291
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
1386059277
IL
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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