IAN KELLY

RANCHO CUCAMONGA, CA
NPI1336506781
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  105802)
Enumeration Date2016-01-15
Last Update Date2018-12-12
Business Address
IAN KELLY
9479 HAVEN AVE
RANCHO CUCAMONGA, CA 91730-5844
Phone number: 909-771-8023
Mailing Address
IAN KELLY
9479 HAVEN AVE
RANCHO CUCAMONGA, CA 91730-5844
Phone number: