Provider Demographics
NPI:1811450042
Name:PIAZZA, GIOVANNA MARIE (MDIV, BCC)
Entity type:Individual
Prefix:MS
First Name:GIOVANNA
Middle Name:MARIE
Last Name:PIAZZA
Suffix:
Gender:F
Credentials:MDIV, BCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2318 BONNIE BRAE
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92706-1603
Mailing Address - Country:US
Mailing Address - Phone:714-271-3712
Mailing Address - Fax:
Practice Address - Street 1:2318 BONNIE BRAE
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92706-1603
Practice Address - Country:US
Practice Address - Phone:714-271-3712
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-14
Last Update Date:2019-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor