Provider Demographics
NPI:1336647494
Name:IORIO, PAUL J (ACSW)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:J
Last Name:IORIO
Suffix:
Gender:M
Credentials:ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1669 N E ST
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92405-4405
Mailing Address - Country:US
Mailing Address - Phone:909-338-4689
Mailing Address - Fax:909-338-8230
Practice Address - Street 1:11951 HESPERIA RD
Practice Address - Street 2:
Practice Address - City:HESPERIA
Practice Address - State:CA
Practice Address - Zip Code:92345-1855
Practice Address - Country:US
Practice Address - Phone:760-956-2345
Practice Address - Fax:760-956-3761
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-24
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health