NPI 1679064497

Janine Iacobucci, OCPSA

Practitioner Prevention Professional Youngstown, OH

Practice location

Address: 527 N Meridian Rd, Youngstown, OH 44509-1227
Phone: (330) 797-0074

Registered specialties (2)

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence OCPSA.161562 (OH)

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Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

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Registry record

NPI: 1679064497
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 May 2018
Record last updated: 15 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.