Ian Fetterolf, MA, MSW
Ian Fetterolf, MA, MSW is a Student in an Organized Health Care Education/Training Program in LA Jolla, California. Works from 3 locations. Registered with an NPI since 2017.
- In the registry since
- 2017
What do these letters mean?
Practice location Address checks out
LA Jolla, CANo coordinates on file. Search this address in Google Maps
Additional practice locations (2)
- 1436 Goodrich Blvd, Commerce, CA 90022-5111 — (323) 832-9795
- 777 Fay Avenue, La Jolla, CA 92037 — (415) 646-4506
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1043736358 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MA , MSW |
| Sole proprietor | No |
| NPI enumerated | August 17, 2017 |
| Last updated in NPPES | July 21, 2022 |
| Certification date | April 23, 2022 |
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