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Joseph Elihu Shigeru Butindaro
Mental Health Counselor in Vista, California
NPI 1902364854

Joseph Elihu Shigeru Butindaro is a Mental Health Counselor based in Vista, CA and is specialized in Mental Health. Joseph Elihu Shigeru Butindaro practices in Vista, CA. The NPI Number for Joseph Elihu Shigeru Butindaro is 1902364854 and holds a License No. (California).

The current practice location address for Joseph Elihu Shigeru Butindaro is 216 W Los Angeles Dr, Vista, CA and can be reached out via phone at 760-630-4065.

Location: 216 W Los Angeles Dr, Vista, CA, 92083-3101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902364854
Provider Name
Joseph Elihu Shigeru Butindaro
Credential
Provider Entity Type
Individual
Gender
Male
Address
216 W Los Angeles Dr, Vista, CA, 92083-3101
Phone Number
760-630-4065
Fax Number
Provider Enumeration Date
03/11/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1336201490 05 CA
institution
Provider Business Practice Location Address Details
Address
216 W Los Angeles Dr
City
Vista
State
California
Zip
92083-3101
Phone Number
760-630-4065
Fax Number
person
Provider Business Mailing Address Details
Address
216 W Los Angeles Dr
City
Vista
State
California
Zip
92083-3101
Phone Number
760-630-4065
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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