Individual provider · Type 1 NPI
Ian Terry Crocker
Mental Health Counselor · Mentone, CA
NPI number
1215217633
Active
Practice location
9355 Opal Ave
Mentone, CA 92359-9605
Fax (909) 389-9431
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
2 other providers at this address
Other mental health counselor providers in Mentone
About NPI 1215217633
Ian Terry Crocker's National Provider Identifier is 1215217633, issued on Aug 17, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mentone, CA. The record was last updated on Aug 17, 2011.