Individual
IAN AMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC NCC
Contact information
Practice address
1140 W MISSION RD, SAN MARCOS, CA 92069-1415
(760) 917-1040
Mailing address
1140 WEST MISSION ROAD, SAN MARCOS,, CA 92069
(760) 917-1040
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC 474
CA
101YP2500X
Professional Counselor
Primary
LPC 474
CA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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