Individual
COLETTE ANNETTE GIOVANNIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1339 COMMERCE AVE, SUITE 305, LONGVIEW, WA 98632-3738
(360) 703-7171
Mailing address
1339 COMMERCE AVE, SUITE 305, LONGVIEW, WA 98632-3738
(360) 703-7171
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
910787084.
WA
106H00000X
Marriage & Family Therapist
Primary
LF 60125331
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LF 60125331
LICENSED MARRIAGE AND FAMILY THERAPIST
WA
01
—
LMF 47688,
LICENSED CLINICIAN MARRIAGE AND FAMILY THERAPIST
CA
Enumeration date
08/30/2006
Last updated
07/15/2011
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