Ivan Cardenas

NPI #1174884118 in El Centro, California

Provider Information

NPI Number: 1174884118
Entity Type: Individual
Name: Ivan Cardenas
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Jun 6, 2012
Last Updated: Jun 6, 2012

Practice Location

Address: 343 S 8TH ST
Address 2: STE. A
City: El Centro
State: California
ZIP Code: 92243-2903
Phone: (760) 353-6151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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