Doctor Name: | MR. RICHARD LOVIS GARIOLO |
NPI Number: | 1356490171 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 37PC00001100 |
Business Practice Address: | 12 Lincoln Boulevard Suite 206 Emerson, NJ - 076301173 |
Business Phone Number: | 2019679333 |
Business Fax Number: | 2019679466 |
Mailing Address: | 12 Lincoln Boulevard, Suite 206 EMERSON |
State: | NJ |
Postal Code: | 076301173 |
Phone Number: | 2019679333 |
Fax Number: | 2019679466 |
NPI Enumeration Date: | 01/10/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 37PC00001100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |