Organization
COLETTE J. IACOBELLIS, M.A., LLC
Active
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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