Individual
JANINE IACOBUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OCPSA
Contact information
Practice address
527 N MERIDIAN RD, YOUNGSTOWN, OH 44509-1227
(330) 797-0074
Mailing address
527 N MERIDIAN RD, YOUNGSTOWN, OH 44509-1227
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
405300000X
Prevention Professional
Primary
OCPSA.161562
OH
Other
Enumeration date
05/29/2018
Last updated
10/15/2020
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