MEDICARE: GINA AIELLO

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	E.2303637	OH

General Provider Information

NPI Number	:	1184304206
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GINA AIELLO

Provider Business Mailing Address
First Line	:	454 YOUNGSTOWN POLAND RD
Second Line	:
City	:	STRUTHERS
State	:	OH
Zip	:	44471-1058
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3681 GREEN RD
Second Line	:
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-5726
Country	:	US
Telephone Number	:	216-407-6278
Fax Number	:

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

Provider Enumeration Date	:	07/24/2023
Last Update Date	:	07/24/2023

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Directions to “ GINA AIELLO ” Practice Location

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