person
Mr. Ian Terry Crocker
Mental Health Counselor in Mentone, California
NPI 1215217633

Ian Terry Crocker is a Mental Health Counselor based in Mentone, CA and is specialized in Mental Health. Ian Terry Crocker practices in Mentone, CA. The NPI Number for Ian Terry Crocker is 1215217633 and holds a License No. (California).

The current practice location address for Ian Terry Crocker is 9355 Opal Ave, Mentone, CA and can be reached out via phone at 909-705-5998 and via fax at 909-389-9431.

Location: 9355 Opal Ave, Mentone, CA, 92359-9605
person
Provider Profile Details
NPI Number
1215217633
Provider Name
Ian Terry Crocker
Credential
Provider Entity Type
Individual
Gender
Male
Address
9355 Opal Ave, Mentone, CA, 92359-9605
Phone Number
909-705-5998
Fax Number
909-389-9431
Provider Enumeration Date
08/17/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9355 Opal Ave
City
State
Zip
92359-9605
Phone Number
909-705-5998
Fax Number
909-389-9431
person
Provider Business Mailing Address Details
Address
9355 Opal Ave
City
State
Zip
92359-9605
Phone Number
909-705-5998
Fax Number
909-389-9431
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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