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
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | PC001538 (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.