Jan Ice Msw Lcsw P A | |
1415 Panther Ln Suite 215 Naples FL 34109-7874 | |
(239) 591-6626 | |
(239) 591-6627 |
Full Name | Jan Ice Msw Lcsw P A |
---|---|
Speciality | Social Worker - Clinical |
Location | 1415 Panther Ln, Naples, Florida |
Authorized Official Name and Position | Jan Ice (PSYCHOTHERAPIST) |
Authorized Official Contact | 2392733915 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jan Ice Msw Lcsw P A 4521 Broadway Ave W Estero FL 33928-2624 Ph: (239) 591-6626 | Jan Ice Msw Lcsw P A 1415 Panther Ln Suite 215 Naples FL 34109-7874 Ph: (239) 591-6626 |
NPI Number | 1033364039 |
---|---|
Provider Enumeration Date | 11/19/2008 |
Last Update Date | 03/14/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033364039 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW5007 (Florida) | Primary |
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