MR. Berman Ivan Icabalceta JR.
NPI #1659763282 in San Bruno, California
Provider Information
- NPI Number
- 1659763282
- Entity Type
- Individual
- Name
- MR. Berman Ivan Icabalceta JR.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician, Other
- Enumeration Date
- Feb 18, 2015
- Last Updated
- May 8, 2025
Practice Location
- Address
- 1001 SNEATH LN STE 307
- City
- San Bruno
- State
- California
- ZIP Code
- 94066
- Phone
- (650) 244-0305
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Specialist |
| Technician, Other |
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