Organization
COLETTE J. IACOBELLIS, M.A., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLETTE J. IACOBELLIS M.A. (CONTRACT COUNSELOR)
(407) 951-3820
Entity
Organization
Contact information
Practice address
338 N PARK AVE, SUITE 18, WINTER PARK, FL 32789-3815
(407) 951-3820
Mailing address
338 N PARK AVE, SUITE 18, WINTER PARK, FL 32789-3815
(407) 951-3820
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
IMH11329
FL
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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