Individual
DR. CARMINE UMBERTO IACONO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1914 MORNING TIDE LN, LEAGUE CITY, TX 77573-6951
(281) 538-1385
Mailing address
1914 MORNING TIDE LN, LEAGUE CITY, TX 77573-6951
(281) 538-1385
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
22547
TX
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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