Provider Demographics
NPI:1235501461
Name:CARLINO, GEMMA (MSED, NCC, LPC, CADC)
Entity Type:Individual
Prefix:
First Name:GEMMA
Middle Name:
Last Name:CARLINO
Suffix:
Gender:F
Credentials:MSED, NCC, LPC, CADC
Other - Prefix:
Other - First Name:GEMMA
Other - Middle Name:
Other - Last Name:EDWARDO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSED, NCC
Mailing Address - Street 1:731 KILBUCK DR
Mailing Address - Street 2:
Mailing Address - City:CRANBERRY TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-6839
Mailing Address - Country:US
Mailing Address - Phone:412-862-9274
Mailing Address - Fax:
Practice Address - Street 1:731 KILBUCK DR
Practice Address - Street 2:
Practice Address - City:CRANBERRY TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:16066-6839
Practice Address - Country:US
Practice Address - Phone:412-862-9274
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-27
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA9387101YA0400X
PAPC008100101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)