IAN JEFFREY RUSSELL

SAN DIEGO, CA
NPI1275940009
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2014-07-14
Last Update Date2014-07-14
Business Address
-- IAN JEFFREY RUSSELL
9445 FARNHAM ST. SUITE 100
SAN DIEGO, CA 92123
Phone number: 858-380-4676
Mailing Address
-- IAN JEFFREY RUSSELL
9445 FARNHAM ST STE 100
SAN DIEGO, CA 92123-1308
Phone number: 858-380-4676