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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1285166736

Simon Kiyoshi Hara is a Student in an Organized Health Care Education/Training Program in San Rafael, California. Registered with an NPI since 2017.

In the registry since
2017
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Practice location Address may be wrong

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1330 Lincoln Ave #201 Community Institute For Psychotherapy
San Rafael, CA 99401-2141
Phone: (415) 459-5999
Fax: (415) 459-5602
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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1285166736
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 3, 2017
Last updated in NPPESApril 3, 2017

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