Provider Demographics
NPI:1730104688
Name:GARIGLIETTI, GIANNA (LPC)
Entity Type:Individual
Prefix:MS
First Name:GIANNA
Middle Name:
Last Name:GARIGLIETTI
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:PO BOX 422
Mailing Address - Street 2:
Mailing Address - City:MASONVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80541-0422
Mailing Address - Country:US
Mailing Address - Phone:913-802-8180
Mailing Address - Fax:
Practice Address - Street 1:825 S BROADWAY ST
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80305-5963
Practice Address - Country:US
Practice Address - Phone:720-507-5177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2387101YM0800X
VA0701003510101YP2500X
CO0017296101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0101845045Medicaid