Provider Demographics
NPI:1205189453
Name:GIAGNACOVA, JANICE R (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:R
Last Name:GIAGNACOVA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 SYMPHONY CIR
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14201-1339
Mailing Address - Country:US
Mailing Address - Phone:716-783-3221
Mailing Address - Fax:716-408-9060
Practice Address - Street 1:10 SYMPHONY CIR
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14201-1339
Practice Address - Country:US
Practice Address - Phone:716-783-3221
Practice Address - Fax:716-408-9060
Is Sole Proprietor?:No
Enumeration Date:2012-10-24
Last Update Date:2012-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY83748101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health