Individual provider · Type 1 NPI

Andrea Iacono, RADT-1

Counselor · Banning, CA

NPI number 1346644358 Active

Practice location

2781 W Ramsey St.
Banning, CA 92220-5528

Mailing address

2781 W Ramsey St
Banning, CA 92220-3700

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XR1001014 (CA)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1346644358

Andrea Iacono, RADT-1's National Provider Identifier is 1346644358, issued on Oct 20, 2014. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Banning, CA. The record was last updated on Mar 27, 2015.