Individual
LORA GIANINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.L.P.C.
Contact information
Practice address
5980 S MAIN ST STE 101, CLARKSTON, MI 48346-2377
(248) 410-4361
Mailing address
5980 S MAIN ST STE 101, CLARKSTON, MI 48346-2377
(248) 625-2970
(248) 625-6829
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401019114
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38-3242129
AETNA, ASR, BEACON HEALTH-VO, BCBSM, BCN, CIGNA, HAP, MCLAREN, UHC
MI
Enumeration date
04/12/2021
Last updated
04/12/2021
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