MEDICARE: MARC KITANO LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	108500	CA
2	106H00000X	Marriage & Family Therapist	203696	TX

General Provider Information

NPI Number	:	1043823354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARC KITANO LMFT

Provider Business Mailing Address
First Line	:	1400 N COIT RD STE 2204
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-6663
Country	:	US
Telephone Number	:	469-324-9777
Fax Number	:

Provider Business Practice Location Address
First Line	:	1400 N COIT RD STE 2204
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-6663
Country	:	US
Telephone Number	:	469-324-9777
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2020
Last Update Date	:	10/14/2024

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Directions to “ MARC KITANO LMFT” Practice Location

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