MR. Ian Terry Crocker
NPI #1215217633 in Mentone, California
Provider Information
- NPI Number
- 1215217633
- Entity Type
- Individual
- Name
- MR. Ian Terry Crocker
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Aug 17, 2011
- Last Updated
- Aug 17, 2011
Practice Location
- Address
- 9355 OPAL AVE
- City
- Mentone
- State
- California
- ZIP Code
- 92359-9605
- Phone
- (909) 705-5998
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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|---|---|
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