MISS MAI IESAKA BA
NPI 1982868923
Counselor - Mental Health in La Jolla, CA
Active since July 17, 2008
About Miss Mai Iesaka Ba NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS MAI IESAKA BA (NPI 1982868923) is an individual mental health provider in La Jolla, California and active in the NPI registry since July 2008.
NPPES Registry Identity
NPI1982868923
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMISS MAI IESAKACredential: BA
Location Address529 BONAIR STLa Jolla, CA 92037-6113
Mailing Address529 Bonair StLa Jolla, CA 92037-6113 · (858) 401-2548
Phone(858) 401-2548
Sole ProprietorNo
Enumeration DateJuly 17, 2008
Last NPPES UpdateSeptember 2, 2008
✔ NPI 1982868923 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
529 BONAIR ST, La Jolla, CA 92037
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1982868923, enumerated as an "individual" on July 17, 2008.
The provider is located at 529 BONAIR ST LA JOLLA, CA 92037 and the phone number is (858) 401-2548.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.