Giovanniello, Colette Annette
Giovanniello, Colette Annette is an sole proprietor health care provider with primary practice located at 1339 Commerce Ave Suite 305, Longview WA 98632-3738. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Giovanniello, Colette Annette can be contacted via phone (360) 703-7171.Contact Information
Primary practice address
1339 Commerce Ave Suite 305
Longview WA 98632-3738
Phone: (360) 703-7171
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 910787084. | Washington |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | LF 60125331 | Washington |
Profile Details
NPI number | 1497865737 |
---|---|
LBN Legal business name | Giovanniello, Colette Annette |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 30th, 2006 |
Last updated | Jul 15th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1497865737 | NPPES |
Washington | Other | LF 60125331 | LICENSED MARRIAGE AND FAMILY THERAPIST |
Washington | Other | LMF 47688, | LICENSED MARRIAGE AND FAMILY THERAPIST |
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