Provider Demographics
NPI:1649924515
Name:CIRINCIONE, ARIANNA DAWN (LPC-IT)
Entity type:Individual
Prefix:MRS
First Name:ARIANNA
Middle Name:DAWN
Last Name:CIRINCIONE
Suffix:
Gender:F
Credentials:LPC-IT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1237 JOHNSON ST
Mailing Address - Street 2:
Mailing Address - City:LA CROSSE
Mailing Address - State:WI
Mailing Address - Zip Code:54601-5644
Mailing Address - Country:US
Mailing Address - Phone:608-799-6872
Mailing Address - Fax:
Practice Address - Street 1:2920 EAST AVENUE SOUTH
Practice Address - Street 2:SUITE 100
Practice Address - City:LA CROSSE
Practice Address - State:WI
Practice Address - Zip Code:54601-5460
Practice Address - Country:US
Practice Address - Phone:608-799-6872
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-09
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
774796101YA0400X
WI792554101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)