MISS Mai Iesaka, BA
NPI #1982868923 in La Jolla, California
Provider Information
- NPI Number
- 1982868923
- Entity Type
- Individual
- Name
- MISS Mai Iesaka, BA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- BA
- Enumeration Date
- Jul 17, 2008
- Last Updated
- Sep 2, 2008
Practice Location
- Address
- 529 BONAIR ST
- City
- La Jolla
- State
- California
- ZIP Code
- 92037-6113
- Phone
- (858) 401-2548
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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