| Doctor Name: | MRS. SANDRA L GIACOMETTI |
| NPI Number: | 1366535007 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA,LPC,CAC |
| License Number: | 3071 |
| Business Practice Address: | 739 E Drinker St Ste 204 Dunmore, PA - 185122555 |
| Business Phone Number: | 5705582003 |
| Business Fax Number: | 5705582099 |
| Mailing Address: | 739 E Drinker St Ste 204, DUNMORE |
| State: | PA |
| Postal Code: | 185122555 |
| Phone Number: | 5705582003 |
| Fax Number: | 5705582099 |
| NPI Enumeration Date: | 10/02/2006 |
| NPI Last Update Date: | 06/26/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 3071 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |