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Individual

IRENE CONSIGLIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
587 MONA LN, YOUNGSTOWN, OH 44509-2222
(330) 942-9507
Mailing address
587 MONA LN, YOUNGSTOWN, OH 44509-2222

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.161152
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCII.161521
OH

Other

Enumeration date
03/15/2017
Last updated
09/27/2018
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