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Individual

MS. ANITA LYNNE GIOVANNUCCI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
521 VISCHER FERRY RD, CLIFTON PARK, NY 12065-3668
(518) 878-5932
(518) 383-7143
Mailing address
118 CLAMSTEAM RD, 3 D, CLIFTON PARK, NY 12065-7806
(518) 383-7143
(518) 383-7143

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000073
NY
101YM0800X
Mental Health Counselor
5013
MA
101YM0800X
Mental Health Counselor
E0003637
OH

Other

Enumeration date
07/20/2006
Last updated
07/08/2007
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