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Jewelya M Ianniciello, MSW,CDP
Mental Health Counselor in Tacoma, Washington
NPI 1891984498

Jewelya M Ianniciello is a Mental Health Counselor based in Tacoma, WA and is specialized in Mental Health. Jewelya M Ianniciello practices in Tacoma, WA and has the professional credentials of MSW,CDP. The NPI Number for Jewelya M Ianniciello is 1891984498 and holds a License No. CP00005115 (Washington).

The current practice location address for Jewelya M Ianniciello is 3402 55Th Ave Ne, Tacoma, WA and can be reached out via phone at 206-406-1178.

Location: 3402 55Th Ave Ne, Tacoma, WA, 98422-3156
person
Provider Profile Details
NPI Number
1891984498
Provider Name
Jewelya M Ianniciello
Credential
MSW,CDP
Provider Entity Type
Individual
Gender
Female
Address
3402 55Th Ave Ne, Tacoma, WA, 98422-3156
Phone Number
206-406-1178
Fax Number
Provider Enumeration Date
10/18/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3402 55Th Ave Ne
City
State
Zip
98422-3156
Phone Number
206-406-1178
Fax Number
person
Provider Business Mailing Address Details
Address
3402 55Th Ave Ne
City
State
Zip
98422-3156
Phone Number
206-406-1178
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
RC00042019 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CP00005115 (Washington)
Definition
Definition to come...
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