AUSTIN ICE

KINGSBURG, CA
NPI1861002040
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  147115)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-08-03
Last Update Date2025-05-15
Business Address
AUSTIN ICE
121 W SIERRA ST
KINGSBURG, CA 93631-1756
Phone number: 559-326-5320
Mailing Address
AUSTIN ICE
121 W SIERRA ST
KINGSBURG, CA 93631-1756
Phone number: 559-326-5320