Individual
MS. ABRESCY ICASIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RAS, FAC
Contact information
Practice address
1600 SACRAMENTO INN WAY, SUITE 205, SACRAMENTO, CA 95815-3457
(916) 821-3107
Mailing address
1600 SACRAMENTO INN WAY, SUITE 205, SACRAMENTO, CA 95815-3457
(916) 821-3107
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
I1401031635
CA
Other
Enumeration date
01/19/2017
Last updated
01/19/2017
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