BERMAN IVAN ICABALCETA

SAN BRUNO, CA
NPI1659763282
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-02-18
Last Update Date2019-06-14
Business Address
Mr. BERMAN IVAN ICABALCETA
1001 SNEATH LN STE 307
SAN BRUNO, CA 94066
Phone number: 650-244-0305
Mailing Address
Mr. BERMAN IVAN ICABALCETA
301 GRAND AVE SUITE 301
SOUTH SAN FRANCISCO, CA 94080-3606
Phone number: 650-244-0305