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MR. KEVIN MAMORU CHOM DUK AKIYAMA M.S.
School >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1487974838
Individual Registrant:MR. KEVIN MAMORU CHOM DUK AKIYAMA M.S.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
1918 UNIVERSITY AVE STE 2B BERKELEY, CA 94704-3264 US
Tel: 510-841-9230 Fax: 510-841-0167
Tel: 510-841-9230 Fax: 510-841-0167
Contact information for business:
1918 UNIVERSITY AVE STE 2B BERKELEY, CA 94704-3264 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1487974838
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 101YS0200X | Behavioral Health & Social Service Providers Counselor School | CA | |
| Y | 390200000X | Student Organized Health Care Education/Training Program |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
