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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IAN KELLY

Active Sole Proprietor

IAN KELLY is a Marriage & Family Therapist healthcare provider located in RANCHO CUCAMONGA, California. NPI 1336506781 is currently active in the NPPES registry. Verify at CMS.

Marriage & Family Therapist · RANCHO CUCAMONGA, CA

Registration Details

NPI Number
1336506781
Provider Type
Individual
Gender
Male
NPI Issued
Jan 15, 2016 (10.605751409243 yrs)
Last Updated
Dec 12, 2018
License
105802 (CA)
Sole Proprietor
Yes

Practice Information

Address
9479 HAVEN AVE
RANCHO CUCAMONGA, CA, 917305844
Browse CA providers · Browse ZIP 91730
Phone
9097718023
Primary Specialty
Marriage & Family Therapist
106H00000X

Other Marriage & Family Therapist Providers in RANCHO CUCAMONGA, CA

Name Credential NPI
MR. DENNIS LEE HARRIS 1457361008
KAREN LYNN LEVANDUSKI MS MFT 1851403638
MRS. JENNIFER ANN HOUGER M.S. 1356434138
KENNETH A OLSON M.A., M.F.T. 1851459614
RHONDA LEE MCBRIDE 1659427540
MRS. SUSAN LYNN PAVONE L.M.F.T. 1407992456
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.