Individual
DR. GEORGINA FIORENTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDD, LCASA, BT
Contact information
Practice address
2520 IMPATIEN DR, CHARLOTTE, NC 28215-7739
(917) 841-7842
Mailing address
2520 IMPATIEN DR, CHARLOTTE, NC 28215-7739
(917) 841-7842
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
29107
NC
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/05/2018
Last updated
11/14/2025
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