Provider Information for 1043823354
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MARC KITANO LMFT
Sex: Male
NPI: 1043823354
Last Updated: 2024-10-14
Certification Date: 2024-10-14
Certification Date: 2024-10-14
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1043823354 | ||||||||||||||
| Enumeration Date | 2020-08-26 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | NO | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 1400 N COIT RD STE 2204 MCKINNEY, TX 75071-6663 United States Phone: 469-324-9777 | Fax: | ||||||||||||||
| Primary Practice Address | 1400 N COIT RD STE 2204 MCKINNEY, TX 75071-6663 United States Phone: 469-324-9777 | Fax: | ||||||||||||||
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