INDIANNA MCKENNA BOUCH

SAN BERNARDINO, CA
NPI1831806603
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies101YM0800X Counselor, Mental Health
390200000X Student in an Organized Health Care Education/Training Program
106S00000X Behavior Technician
172V00000X Community Health Worker
Enumeration Date2022-11-01
Last Update Date2024-05-01
Business Address
INDIANNA MCKENNA BOUCH
1950 S SUNWEST LN STE 200
SAN BERNARDINO, CA 92408-3248
Phone number: 909-252-4017
Mailing Address
INDIANNA MCKENNA BOUCH
1950 S SUNWEST LN STE 200
SAN BERNARDINO, CA 92408-3248
Phone number: