Provider Demographics
NPI:1538282488
Name:CHIARADONNA, JANICE F (EDD, LMHC; CADAC)
Entity Type:Individual
Prefix:DR
First Name:JANICE
Middle Name:F
Last Name:CHIARADONNA
Suffix:
Gender:F
Credentials:EDD, LMHC; CADAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:63 SPRINGVALE AVE
Mailing Address - Street 2:
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01904-2514
Mailing Address - Country:US
Mailing Address - Phone:781-596-3315
Mailing Address - Fax:
Practice Address - Street 1:7 ESSEX GREEN DR
Practice Address - Street 2:SUITE # 65
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960-2961
Practice Address - Country:US
Practice Address - Phone:781-596-3315
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-07
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1113AD101YA0400X
MA613101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)