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NPI Code Detail

MEDICARE: MR. JOSEPH DOMINIC IAROCCI LPC

MEDICARE: MR. JOSEPH DOMINIC IAROCCI LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorC.0900657OH
2101YP2500XProfessional CounselorC.0900657OH

General Provider Information

NPI Number : 1639476559
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOSEPH DOMINIC IAROCCI LPC
Provider Business Mailing Address
First Line : 230 S COURT ST
Second Line : SUITE 5
City : MEDINA
State : OH
Zip : 44256-2275
Country : US
Telephone Number : 440-897-0640
Fax Number :
Provider Business Practice Location Address
First Line : 230 S COURT ST
Second Line : SUITE 5
City : MEDINA
State : OH
Zip : 44256-2275
Country : US
Telephone Number : 440-897-0640
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2011
Last Update Date : 02/13/2011

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