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Dominick Keanu Iaconetti
Mental Health Counselor in Bellingham, Washington
NPI 1861049389

Dominick Keanu Iaconetti is a Mental Health Counselor based in Bellingham, WA and is specialized in Mental Health. Dominick Keanu Iaconetti practices in Bellingham, WA. The NPI Number for Dominick Keanu Iaconetti is 1861049389 and holds a License No. (Washington).

The current practice location address for Dominick Keanu Iaconetti is 3600 Meridian St, Bellingham, WA and can be reached out via phone at 360-676-6000.

Location: 3600 Meridian St, Bellingham, WA, 98225-1756
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861049389
Provider Name
Dominick Keanu Iaconetti
Credential
Provider Entity Type
Individual
Gender
Male
Address
3600 Meridian St, Bellingham, WA, 98225-1756
Phone Number
360-676-6000
Fax Number
Provider Enumeration Date
08/20/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3600 Meridian St
City
Bellingham
State
Washington
Zip
98225-1756
Phone Number
360-676-6000
Fax Number
person
Provider Business Mailing Address Details
Address
3600 Meridian St
City
Bellingham
State
Washington
Zip
98225-1756
Phone Number
360-676-6000
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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