Provider Demographics
NPI:1255504429
Name:GIARDINO, LORRAINE T (LPC)
Entity Type:Individual
Prefix:DR
First Name:LORRAINE
Middle Name:T
Last Name:GIARDINO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2012 NEW GARDEN RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-2529
Mailing Address - Country:US
Mailing Address - Phone:336-288-0588
Mailing Address - Fax:336-288-0517
Practice Address - Street 1:2012 NEW GARDEN RD
Practice Address - Street 2:SUITE E
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-2529
Practice Address - Country:US
Practice Address - Phone:336-288-0588
Practice Address - Fax:336-288-0517
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-09
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6954 LPC101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional