Provider Demographics
NPI:1811243298
Name:GIORDANA, JENNA RAE (LPC)
Entity type:Individual
Prefix:MRS
First Name:JENNA
Middle Name:RAE
Last Name:GIORDANA
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 1:369 US HIGHWAY 41 E
Mailing Address - Street 2:
Mailing Address - City:NEGAUNEE
Mailing Address - State:MI
Mailing Address - Zip Code:49866-9624
Mailing Address - Country:US
Mailing Address - Phone:906-273-1095
Mailing Address - Fax:906-273-1098
Practice Address - Street 1:369 US HIGHWAY 41 E
Practice Address - Street 2:
Practice Address - City:NEGAUNEE
Practice Address - State:MI
Practice Address - Zip Code:49866-9624
Practice Address - Country:US
Practice Address - Phone:906-273-1095
Practice Address - Fax:906-273-1098
Is Sole Proprietor?:No
Enumeration Date:2012-08-03
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401017060101YP2500X
MI6401013155101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional