Colette J. Iacobellis, M.a., Llc

NPI 1144618620 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1144618620
Enumeration Date 01/06/2015
Last Updated 01/06/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name COLETTE J. COLETTE
Position CONTRACT COUNSELOR
Phone (407) 951-3820
Fax
Practice Location
338 N PARK AVE
SUITE 18
WINTER PARK FL, 32789-3815, US
Phone (407) 951-3820
Fax
Business Location
338 N PARK AVE
SUITE 18
WINTER PARK FL, 32789-3815, US
Phone (407) 951-3820
Fax
Toxanomy
Taxonomy Code 251S00000X
License State Florida
License Number IMH11329
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According to our database, Colette J. Iacobellis, M.a., Llc NPI is 1144618620, taxonomy code is 251S00000X and license number is IMH11329, license state is located at Florida. Colette J. Iacobellis, M.a., Llc physically located at 338 N Park Ave, Winter Park FL, 32789-3815. NPI Number 1033115704 has the healthcare provider type.

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1144618620 NPI number is provided on an as is basis without warranty of any kind. 1144618620 is maintained by the National Plan & Provider Enumeration System. The contents of Colette J. Iacobellis, M.a., Llc are for informational purposes only.