Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 37PC00629400 | NJ |
NPI | 1003209552 |
---|---|
Provider Name | Carianne D'oriano |
First Address | Red Bank, NJ 07701-1852 |
Second Address | Red Bank, NJ 07701-1852 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2015 |
Last Update Date | 30/11/2021 |