Individual
DR. MIKA AWANOHARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1902 W. DICKERSON ST., SUITE 208, BOZEMAN, MT 59718
(413) 464-4590
Mailing address
1902 W. DICKERSON ST., SUITE 208, BOZEMAN, MT 59718
(413) 464-4590
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
019708
NY
103TC0700X
Clinical Psychologist
9302
MA
Other
Enumeration date
02/11/2011
Last updated
05/22/2024
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