Iacono, Andrea

Iacono, Andrea is an individual health care provider with primary practice located at 2781 W Ramsey St. , Banning CA 92220-5528. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Iacono, Andrea can be contacted via phone (951) 849-3896.

Contact Information

Primary practice address
2781 W Ramsey St. Banning CA 92220-5528
Phone: (951) 849-3896
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X R1001014 California

Profile Details

NPI number 1346644358
LBN Legal business name Iacono, Andrea
Credentials RADT-1
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2014
Last updated Mar 27th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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