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NPI Code Detail

MEDICARE: GIANNA RANDO

MEDICARE: GIANNA RANDO
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1578369534
Entity Type Code : Individual
Provider Name (Legal Business Name) : GIANNA RANDO
Provider Business Mailing Address
First Line : 1040 N 2ND ST UNIT 602
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19123-1560
Country : US
Telephone Number : 609-703-1944
Fax Number :
Provider Business Practice Location Address
First Line : 223 GIBBSBORO RD
Second Line :
City : CLEMENTON
State : NJ
Zip : 08021-4135
Country : US
Telephone Number : 609-889-8100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2025
Last Update Date : 02/20/2025

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Directions to “ GIANNA RANDO ” Practice Location

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