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1669167771
IVAN WAH-CHIANG CHAN
VENTURA, CA
NPI
1669167771
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA LMFT82584)
Enumeration Date
2023-04-06
Last Update Date
2023-04-06
Business Address
Mr. IVAN WAH-CHIANG CHAN LMFT
1771 POLI ST
VENTURA, CA 93001-2364
Phone number: 831-607-9773
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Mailing Address
Mr. IVAN WAH-CHIANG CHAN LMFT
PO BOX 1174
SANTA BARBARA, CA 93102-1174
Phone number: 831-607-9773
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