Provider Demographics
NPI:1245520931
Name:CARUSO, GIANNA MARIE (LPC)
Entity type:Individual
Prefix:MISS
First Name:GIANNA
Middle Name:MARIE
Last Name:CARUSO
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 1:46 MACARTHUR DR
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-3926
Mailing Address - Country:US
Mailing Address - Phone:973-777-9596
Mailing Address - Fax:973-456-2326
Practice Address - Street 1:46 MACARTHUR DR
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-3926
Practice Address - Country:US
Practice Address - Phone:973-777-9596
Practice Address - Fax:973-456-2326
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-14
Last Update Date:2011-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC0041700101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional