IAN RICHARD FAGAN

OCEANSIDE, CA
NPI1467734749
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  85666)
Additional Taxonomies104100000X Social Worker
Enumeration Date2011-09-13
Last Update Date2022-03-02
Business Address
IAN RICHARD FAGAN
1738 S TREMONT ST
OCEANSIDE, CA 92054-5309
Phone number: 760-439-2800
Mailing Address
IAN RICHARD FAGAN
1738 S TREMONT ST
OCEANSIDE, CA 92054-5309
Phone number: 760-439-2800
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