| Colette J. Iacobellis, M.a., Llc | |
|
338 N Park Ave Suite 18 Winter Park FL 32789-3815 | |
| (407) 951-3820 | |
| Not Available |
| Full Name | Colette J. Iacobellis, M.a., Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 338 N Park Ave, Winter Park, Florida |
| Authorized Official Name and Position | Colette J. Iacobellis (CONTRACT COUNSELOR) |
| Authorized Official Contact | 4079513820 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colette J. Iacobellis, M.a., Llc 338 N Park Ave Suite 18 Winter Park FL 32789-3815 Ph: (407) 951-3820 | Colette J. Iacobellis, M.a., Llc 338 N Park Ave Suite 18 Winter Park FL 32789-3815 Ph: (407) 951-3820 |
| NPI Number | 1144618620 |
|---|---|
| Provider Enumeration Date | 01/06/2015 |
| Last Update Date | 01/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144618620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | IMH11329 (Florida) | Primary |
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