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Ian Olden
Mental Health Counselor in Marina, California
NPI 1528682820

Ian Olden is a Mental Health Counselor based in Marina, CA and is specialized in Mental Health. Ian Olden practices in Marina, CA. The NPI Number for Ian Olden is 1528682820 and holds a License No. (California).

The current practice location address for Ian Olden is 299 12Th St Ste B, Marina, CA and can be reached out via phone at 831-883-3030.

Location: 299 12Th St Ste B, Marina, CA, 93933-6003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528682820
Provider Name
Ian Olden
Credential
Provider Entity Type
Individual
Gender
Male
Address
299 12Th St Ste B, Marina, CA, 93933-6003
Phone Number
831-883-3030
Fax Number
Provider Enumeration Date
06/02/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
299 12Th St Ste B
City
Marina
State
California
Zip
93933-6003
Phone Number
831-883-3030
Fax Number
person
Provider Business Mailing Address Details
Address
299 12Th St Ste B
City
Marina
State
California
Zip
93933-6003
Phone Number
831-883-3030
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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