Kelsey Anne Ikemoto
Rehabilitation Counselor
7200 Skyway
Paradise
, California 95969-3280
Kelsey Anne Ikemoto
Rehabilitation Counselor
7200 Skyway
Paradise
, California 95969-3280
(530) 894-5791
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About
Features
Specialties
- Rehabilitation Counselor
Languages spoken
- English
Location
First Address
- Kelsey Anne Ikemoto
- 7200 Skyway
- Paradise, CA
- Zip : 95969-3280
- Fax : (530) 894-5791
- Phone : (530) 877-1965
Second Address
- Kelsey Anne Ikemoto
- 7200 Skyway
- Paradise, CA
- Zip : 95969-3280
- Fax : (530) 894-5791
- Phone : (530) 877-1965
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225C00000X | Rehabilitation Counselor |
National Provider Identifier
| NPI | 1184991143 |
|---|---|
| Provider Name | Kelsey Anne Ikemoto |
| First Address | Paradise, CA 95969-3280 |
| Second Address | Paradise, CA 95969-3280 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/11/2011 |
| Last Update Date | 18/11/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.