| Doctor Name: | MISS JACQUELINE MARIE GIORDANO |
| NPI Number: | 1083630719 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., L.P.C. |
| License Number: | 37PC00296700 |
| Business Practice Address: | 402 Main St Suite 201 Metuchen, NJ - 088401846 |
| Business Phone Number: | 7326359797 |
| Business Fax Number: | 7326351711 |
| Mailing Address: | 402 Main St, Suite 201 METUCHEN |
| State: | NJ |
| Postal Code: | 088401846 |
| Phone Number: | 7326359797 |
| Fax Number: | 7326351711 |
| NPI Enumeration Date: | 07/14/2006 |
| NPI Last Update Date: | 05/31/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 37PC00296700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |