Ikenasio, Kose

Ikenasio, Kose is an individual health care provider with primary practice located at 23990 Eucalyptus Ave , Moreno Valley CA 92553-5504. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Ikenasio, Kose can be contacted via phone (951) 956-3123.

Contact Information

Primary practice address
23990 Eucalyptus Ave Moreno Valley CA 92553-5504
Phone: (951) 956-3123
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 99620 California
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 73873 California
Behavioral Health & Social Service Providers / School 1041S0200X

Profile Details

NPI number 1417352501
LBN Legal business name Ikenasio, Kose
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2014
Last updated Jun 1st, 2026 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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