Gina M Licciardello in West Chester - Counselor
Gina M Licciardello - NPI 1891908653
Gina M Licciardello is a Counselor in West Chester, Pennsylvania. Gina M Licciardello practices all healthcare services and medical treatments related to Counselor. The NPI Number for Gina M Licciardello is 1891908653. The last update date is 2007-07-08.
Gina M Licciardello's current location address is 747 Bradford Terrace, West Chester, Pennsylvania. You can contact this provider via phone number 6104445879 and fax number 6104445079. The mailing address for Gina M Licciardello is 747 Bradford Terrace, West Chester, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gina M Licciardello |
|---|---|
| Address | 747 Bradford Terrace, West Chester, Pennsylvania |
| Phone Number | 6104445879 |
| Fax Number | 6104445079 |
| Sole Proprietor | N |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1891908653 |
|---|---|
| Provider Enumeration Date | 2007-05-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 747 Bradford Terrace |
|---|---|
| City | West Chester |
| State | Pennsylvania (PA) |
| Post Code | 193821803 |
| Phone Number | 6104445879 |
| Fax Number | 6104445079 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | PC001538 |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PC001538 | PA | BUREAU OF PROFESSIONAL AN |
Post Comment/ Review Below
What is the unique provider identifier assigned to Gina M Licciardello?
The Gina M Licciardello has been issued the NPI (National Provider Identifier) 1891908653 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Gina M Licciardello is geographically located?
The Gina M Licciardello is physically situated at the following location: 747 Bradford Terrace, West Chester, PA, 193821803.
What is Gina M Licciardello's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gina M Licciardello's area of specialization is Counselor, and the corresponding taxonomy code that categorizes this field of practice is 101Y00000X.
On what date was the 1891908653 assigned to Gina M Licciardello?
The Gina M Licciardello was issued its 1891908653 on 2007-05-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Gina M Licciardello, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Gina M Licciardello, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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