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
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | R1001014 (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.