Doctor Name: | JENNIFER GIESEL |
NPI Number: | 1144628751 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICDC |
License Number: | |
Business Practice Address: | 4212 State Route 306 #100 Willoughby, OH - 440949258 |
Business Phone Number: | 2168316611 |
Business Fax Number: | 2164568128 |
Mailing Address: | 25101 Chagrin Blvd, #100 BEACHWOOD |
State: | OH |
Postal Code: | 441225643 |
Phone Number: | 2168316611 |
Fax Number: | 2164568128 |
NPI Enumeration Date: | 12/12/2014 |
NPI Last Update Date: | 12/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |