Individual
GEORGIANNA GNECCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
78 JOHN MILLER WAY STE 300, KEARNY, NJ 07032-6531
(855) 500-3848
Mailing address
78 JOHN MILLER WAY, KEARNY, NJ 07032-6500
(855) 500-3848
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
44SC05924500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G58952780060874
COMMERCIAL
NJ
Enumeration date
08/25/2022
Last updated
08/25/2022
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