Demetria Iacocca, LAADC, CADCII
NPI #1073630513 in Gilroy, California
Provider Information
- NPI Number
- 1073630513
- Entity Type
- Individual
- Name
- Demetria Iacocca, LAADC, CADCII
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- LAADC, CADCII
- Enumeration Date
- Mar 22, 2007
- Last Updated
- Aug 15, 2011
Practice Location
- Address
- 8352 CHURCH ST
- City
- Gilroy
- State
- California
- ZIP Code
- 95020-4449
- Phone
- (408) 843-9524
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Counselor - Mental Health — Mental Health |
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