Ian James Brock
Ian James Brock is a Mental Health Counselor in Ventura, California. Licensed in California. Registered with an NPI since 2013.
- Licensed in
- CA
- In the registry since
- 2013
Practice location Address checks out
5810 Ralston St Fl 2Ventura, CA 93003-6010
Phone: (805) 642-7033
Fax: (805) 642-7201
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X (CA) |
|---|
Record details
| NPI number | 1528309796 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 12, 2013 |
| Last updated in NPPES | March 12, 2013 |
| Mailing address | 1423 Vida Dr, Oxnard, CA 93030-0122 |
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