Individual
GIOIA DIMICCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, ATR-BC
Contact information
Practice address
1518 WALNUT ST, PHILADELPHIA, PA 19102-3419
(215) 642-8968
Mailing address
51 N WIOTA ST, PHILADELPHIA, PA 19104-2212
(215) 932-3793
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC015917
PA
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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