MS. Gina M Licciardello, LPC

NPI #1891908653 in Kennet Square, Pennsylvania

Provider Information

NPI Number: 1891908653
Entity Type: Individual
Name: MS. Gina M Licciardello, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: LPC
Enumeration Date: May 8, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 610 MILLERS HILL
City: Kennet Square
State: Pennsylvania
ZIP Code: 19348
Phone: (610) 444-5879

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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