Ike Kerhulas

NPI 1073706966 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1073706966
Gender Male
Enumeration Date 08/23/2007
Last Updated 08/23/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3801 E WILLOW ST
LONG BEACH CA, 90815-1734, US
Phone (562) 427-7916
Fax (562) 427-7910
Business Location
22 VIA DIVERTIRSE
SAN CLEMENTE CA, 92673-7014, US
Phone (949) 498-3297
Fax (949) 498-3297
Toxanomy
Taxonomy Code 106H00000X
License State California
License Number MFC 20162
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According to our database, Dr. Ike Kerhulas NPI is 1073706966, taxonomy code is 106H00000X and license number is MFC 20162, license state is located at California. Ike Kerhulas physically located at 3801 E Willow St, Long Beach CA, 90815-1734. NPI Number Ike Kerhulas has the Individual type.

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1073706966 NPI number is provided on an as is basis without warranty of any kind. 1073706966 is maintained by the National Plan & Provider Enumeration System. The contents of Ike Kerhulas are for informational purposes only.