Sable Icenogle, MA

NPI #1386490274 in Commerce City, Colorado

Provider Information

NPI Number
1386490274
Entity Type
Individual
Name
Sable Icenogle, MA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
MA
Enumeration Date
Apr 30, 2024
Last Updated
Apr 30, 2024

Practice Location

Address
10549 RACINE WAY
ZIP Code
80022-6628
Phone
(309) 221-6030

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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