Andrea Iacono, RADT-1

NPI #1346644358 in Banning, California

Provider Information

NPI Number: 1346644358
Entity Type: Individual
Name: Andrea Iacono, RADT-1
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: RADT-1
Enumeration Date: Oct 20, 2014
Last Updated: Mar 27, 2015

Practice Location

Address: 2781 W RAMSEY ST.
City: Banning
State: California
ZIP Code: 92220-5528
Phone: (951) 849-3896

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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