Provider Demographics
NPI:1801016571
Name:GILES, NERESA DANIELLE (LPCC)
Entity type:Individual
Prefix:MRS
First Name:NERESA
Middle Name:DANIELLE
Last Name:GILES
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4631 DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45014-1845
Mailing Address - Country:US
Mailing Address - Phone:513-887-3628
Mailing Address - Fax:513-887-4260
Practice Address - Street 1:4631 DIXIE HWY
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014-1845
Practice Address - Country:US
Practice Address - Phone:513-887-3628
Practice Address - Fax:513-887-4260
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2018-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC8227101Y00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor