Ivan Negrete

NPI #1225342579 in Lake Elsinore, California

Provider Information

NPI Number: 1225342579
Entity Type: Individual
Name: Ivan Negrete
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Jul 28, 2010
Last Updated: Jul 28, 2010

Practice Location

Address: 31681 RIVERSIDE DR
Address 2: SUITE L
City: Lake Elsinore
State: California
ZIP Code: 92530-7815
Phone: (951) 674-9243

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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