MEDICARE: LIZA GIANETTO 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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1083855878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIZA GIANETTO LPC

Provider Business Mailing Address
First Line	:	3303 E BASELINE RD STE 109
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85234-2739
Country	:	US
Telephone Number	:	480-233-3720
Fax Number	:

Provider Business Practice Location Address
First Line	:	3303 E BASELINE RD STE 109
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85234-2739
Country	:	US
Telephone Number	:	480-233-3720
Fax Number	:	480-559-9701

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

Provider Enumeration Date	:	03/09/2009
Last Update Date	:	12/15/2020

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Directions to “ LIZA GIANETTO LPC” Practice Location

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