| Jan Ice Msw Lcsw P A | |
|
1415 Panther Ln Suite 215 Naples FL 34109-7874 | |
| (239) 591-6626 | |
| (239) 591-6627 |
| Full Name | Jan Ice Msw Lcsw P A |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1415 Panther Ln, Naples, Florida |
| Authorized Official Name and Position | Jan Ice (PSYCHOTHERAPIST) |
| Authorized Official Contact | 2392733915 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jan Ice Msw Lcsw P A 4521 Broadway Ave W Estero FL 33928-2624 Ph: (239) 591-6626 | Jan Ice Msw Lcsw P A 1415 Panther Ln Suite 215 Naples FL 34109-7874 Ph: (239) 591-6626 |
| NPI Number | 1033364039 |
|---|---|
| Provider Enumeration Date | 11/19/2008 |
| Last Update Date | 03/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033364039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW5007 (Florida) | Primary |
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