Provider Demographics
NPI:1376068783
Name:GIORDANELLA, JOSHUA (CRC)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:
Last Name:GIORDANELLA
Suffix:
Gender:M
Credentials:CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:96B TOMMY STALNAKER DR
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31088-9179
Mailing Address - Country:US
Mailing Address - Phone:478-225-4886
Mailing Address - Fax:478-225-3341
Practice Address - Street 1:96B TOMMY STALNAKER DR
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088-9179
Practice Address - Country:US
Practice Address - Phone:478-225-4886
Practice Address - Fax:478-225-3341
Is Sole Proprietor?:No
Enumeration Date:2017-08-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA00249722225C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00249722OtherCOMMISSION ON REHABILITATION COUNCELOR CERTIFICATION