MEDICARE: MRS. ANGELA MARIE GARGANESE M.A.,LMHC

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	3100	MA

General Provider Information

NPI Number	:	1528014198
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANGELA MARIE GARGANESE M.A.,LMHC

Provider Business Mailing Address
First Line	:	34 CARAWAY DR
Second Line	:
City	:	CRANSTON
State	:	RI
Zip	:	02921-3523
Country	:	US
Telephone Number	:	401-946-8103
Fax Number	:

Provider Business Practice Location Address
First Line	:	34 CARAWAY DR
Second Line	:
City	:	CRANSTON
State	:	RI
Zip	:	02921-3523
Country	:	US
Telephone Number	:	401-946-8103
Fax Number	:

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

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	07/08/2007

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