Provider Demographics
NPI:1740416361
Name:GIORGIO, JOHN P (MS, LMHC, LPC)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:P
Last Name:GIORGIO
Suffix:
Gender:M
Credentials:MS, LMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 E. MAIN ST
Mailing Address - Street 2:PO BOX 798
Mailing Address - City:ELK POINT
Mailing Address - State:SD
Mailing Address - Zip Code:57025-0798
Mailing Address - Country:US
Mailing Address - Phone:605-356-3317
Mailing Address - Fax:605-356-2721
Practice Address - Street 1:204 E. MAIN ST
Practice Address - Street 2:
Practice Address - City:ELK POINT
Practice Address - State:SD
Practice Address - Zip Code:57025-0798
Practice Address - Country:US
Practice Address - Phone:605-356-3317
Practice Address - Fax:605-356-2721
Is Sole Proprietor?:No
Enumeration Date:2009-06-10
Last Update Date:2009-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDLPC7104101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor