Healthcare Provider Details

I. General information

NPI: 1801372875
Provider Name (Legal Business Name): JOSEPH JACK CIONNI III LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2018
Last Update Date: 07/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 N 6TH AVE
STEUBENVILLE OH
43952-1846
US

IV. Provider business mailing address

202 VINCENT LN
FOLLANSBEE WV
26037-1844
US

V. Phone/Fax

Practice location:
  • Phone: 740-283-4946
  • Fax: 740-314-4051
Mailing address:
  • Phone: 48-301-3033
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC.1902107
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: