Ian Richard Fagan
Ian Richard Fagan is a Social Worker in Oceanside, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2011
- Specialties on file
- 2
Practice location Address checks out
1738 S Tremont StOceanside, CA 92054-5309
Phone: (760) 439-2800
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 85666 (CA) |
|---|---|
| Social Worker | Taxonomy 104100000X |
Record details
| NPI number | 1467734749 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 13, 2011 |
| Last updated in NPPES | March 2, 2022 |
| Certification date | March 2, 2022 |
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