Nicole Iacovoni, LCSW, MSW

NPI 1578834784 · on the registry since 2012 · sole proprietor

Practice

Address: 214 Center St
Bloomsburg, PA 17815
Phone: (570) 336-9921
Organisation at this address: Bloomin Health Chiropractic Clinic Llc
Willow Tree Wellness & Counseling, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: PA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-01-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania