Organization
ICON BEHAVIORAL AND MENTAL HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNICE IVOKO NP (OWNER)
(909) 351-4441
Entity
Organization
Contact information
Practice address
9087 ARROW RTE STE 265, RANCHO CUCAMONGA, CA 91730-4487
(909) 351-4441
(909) 351-4411
Mailing address
9087 ARROW RTE STE 265, RANCHO CUCAMONGA, CA 91730-4487
(909) 351-4441
(909) 351-4411
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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