Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shane Ige

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1235505041

Shane Ige is a Student in an Organized Health Care Education/Training Program in Van Nuys, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

15339 Saticoy St
Van Nuys, CA 91406-3345
Phone: (818) 267-2646
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 78002 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence F2401027 (CA)

Record details

NPI number1235505041
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 16, 2015
Last updated in NPPESApril 30, 2018
Mailing address15339 Saticoy St, Van Nuys, CA 91406-3345

Other providers in Van Nuys