IAN CORMICAN

Counselor

Active Individual
NPI: 1841406105

Practice Address

41945 BIG BEAR BLVD. SUITE 222
Big Bear Lake, CA 92315

Phone: (909) 866-5070

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes -

Frequently Asked Questions

NPI 1841406105 is the National Provider Identifier for IAN CORMICAN, a Counselor provider located in Big Bear Lake, CA. This NPI was enumerated on May 15, 2007.
IAN CORMICAN practices at 41945 BIG BEAR BLVD. SUITE 222, Big Bear Lake, CA 92315.

Quick Facts

NPI
1841406105
Type
Individual
Enumerated
May 15, 2007
Last Updated
Jul 8, 2007

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