PROF. Ian Mccloud Hathaway
NPI #1326360892 in Banning, California
Provider Information
- NPI Number
- 1326360892
- Entity Type
- Individual
- Name
- PROF. Ian Mccloud Hathaway
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Feb 24, 2010
- Last Updated
- Feb 24, 2010
Practice Location
- Address
- 3705 W RAMSEY ST
- City
- Banning
- State
- California
- ZIP Code
- 92220-3511
- Phone
- (760) 288-4579
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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