Provider Demographics
NPI:1497069561
Name:GIORDANO, ELANA RACHEL (BA; CADC)
Entity Type:Individual
Prefix:MS
First Name:ELANA
Middle Name:RACHEL
Last Name:GIORDANO
Suffix:
Gender:F
Credentials:BA; CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6765 W CHARLESTON BLVD STE 130
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-2001
Mailing Address - Country:US
Mailing Address - Phone:702-622-1105
Mailing Address - Fax:
Practice Address - Street 1:6765 W CHARLESTON BLVD STE 130
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-2001
Practice Address - Country:US
Practice Address - Phone:702-622-1105
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-01
Last Update Date:2010-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV241-C101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)