Individual
DOMINICA FAITH DELLO IOCONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED, LMHCA
Contact information
Practice address
2200 LAKE AVE STE 260, FORT WAYNE, IN 46805-5351
(260) 424-0411
(260) 424-3530
Mailing address
2200 LAKE AVE STE 260, FORT WAYNE, IN 46805-5351
(260) 424-0411
(260) 424-3530
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
99106852A
IN
Other
Enumeration date
04/25/2022
Last updated
04/25/2022
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