Doctor Name: | MRS. ADESHOLLA LEANN GIONET |
NPI Number: | 1093065690 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LCSW |
License Number: | 220675 |
Business Practice Address: | 4 Muskett Drive Templeton, MA - 014681569 |
Business Phone Number: | 9789398383 |
Business Fax Number: | |
Mailing Address: | 4 Muskett Drive, TEMPLETON |
State: | MA |
Postal Code: | 014681569 |
Phone Number: | 9789398383 |
Fax Number: | |
NPI Enumeration Date: | 09/12/2012 |
NPI Last Update Date: | 05/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 220675 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |