MEDICARE: MRS. JENNIFER LYNNE CAGIANO LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	5177	NC

General Provider Information

NPI Number	:	1285847400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENNIFER LYNNE CAGIANO LPC

Provider Business Mailing Address
First Line	:	10117 DUBLIN CT
Second Line	:
City	:	CONCORD
State	:	NC
Zip	:	28027-2865
Country	:	US
Telephone Number	:	704-796-8112
Fax Number	:

Provider Business Practice Location Address
First Line	:	5513 MONROE RD STE 205
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28212-5503
Country	:	US
Telephone Number	:	937-903-8045
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/07/2007
Last Update Date	:	10/20/2025

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