Individual provider · Type 1 NPI

Gina M. Licciardello, LPC

Counselor · Kennet Square, PA

NPI number 1891908653 Active

Practice location

610 Millers Hill
Kennet Square, PA 19348

Fax (610) 444-5079

Mailing address

747 Bradford Terrace
West Chester, PA 19382-1803

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XPC001538 (PA)

Counselor: 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 supervision for licensure or certification.

About NPI 1891908653

Gina M. Licciardello, LPC's National Provider Identifier is 1891908653, issued on May 8, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Kennet Square, PA. The record was last updated on Jul 8, 2007.