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Lorriane Ichiyasu

Marriage & Family Therapist in El Cajon, CA. Individual provider (NPI-1).

NPI number1689199879
StatusActive
Last updated in NPPESAug 15, 2017

Details

NPI
1689199879
Entity type
Individual (NPI-1)
Name
Lorriane Ichiyasu
Sex
Female
Sole proprietor
No
Enumeration date
Aug 8, 2017
Last updated
Aug 15, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family Therapist100935CAYes

Practice location

460 N Magnolia Ave Ste 110
El Cajon, CA 92020-3610

Phone 619-440-5133

Mailing address

460 N Magnolia Ave Ste 110
El Cajon, CA 92020-3610

Phone 619-440-5123

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