Individual
SARA IANNACO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
4511 AVENUE F, AUSTIN, TX 78751-3108
(323) 791-0247
Mailing address
4511 AVENUE F, AUSTIN, TX 78751-3108
(323) 791-0247
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
201871
TX
106H00000X
Marriage & Family Therapist
MFC43825
CA
Other
Enumeration date
08/20/2009
Last updated
05/22/2012
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