person
Prof. Ian Mccloud Hathaway
Mental Health Counselor in Banning, California
NPI 1326360892

Ian Mccloud Hathaway is a Mental Health Counselor based in Banning, CA and is specialized in Mental Health. Ian Mccloud Hathaway practices in Banning, CA. The NPI Number for Ian Mccloud Hathaway is 1326360892 and holds a License No. (California).

The current practice location address for Ian Mccloud Hathaway is 3705 W Ramsey St, Banning, CA and can be reached out via phone at 760-288-4579 and via fax at 760-288-3752.

Location: 3705 W Ramsey St, Banning, CA, 92220
person
Provider Profile Details
NPI Number
1326360892
Provider Name
Ian Mccloud Hathaway
Credential
Provider Entity Type
Individual
Gender
Male
Address
3705 W Ramsey St, Banning, CA, 92220
Phone Number
760-288-4579
Fax Number
760-288-3752
Provider Enumeration Date
02/24/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3705 W Ramsey St
City
State
Zip
92220-3511
Phone Number
760-288-4579
Fax Number
760-288-3752
person
Provider Business Mailing Address Details
Address
3705 W Ramsey St
City
State
Zip
92220-3511
Phone Number
760-288-4579
Fax Number
760-288-3752
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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