Provider Demographics
NPI:1265264816
Name:LARAGIONE, RENO
Entity type:Individual
Prefix:
First Name:RENO
Middle Name:
Last Name:LARAGIONE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 JEFFREY LN
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-1164
Mailing Address - Country:US
Mailing Address - Phone:609-968-7968
Mailing Address - Fax:
Practice Address - Street 1:155 ROBBINSVILLE EDINBURG RD
Practice Address - Street 2:
Practice Address - City:ROBBINSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08691-3013
Practice Address - Country:US
Practice Address - Phone:609-632-0910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-14
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health