IAN JAMES BROCK

VENTURA, CA
NPI1528309796
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2013-03-12
Last Update Date2013-03-12
Business Address
-- IAN JAMES BROCK
5810 RALSTON ST FL 2
VENTURA, CA 93003-6010
Phone number: 805-642-7033
Mailing Address
-- IAN JAMES BROCK
1423 VIDA DR
OXNARD, CA 93030-0122
Phone number: 805-642-7033
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