Ms Gina M Licciardello, LPC is a
Counselor based in Kennet Square, Pennsylvania. Ms Gina M Licciardello is licensed to practice in Pennsylvania (license number PC001538) and her current practice location is
610 Millers Hill, Kennet Square, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(610) 444-5879.
NPI number for Ms Gina M Licciardello is 1891908653 and her current mailing address is 747 Bradford Terrace, West Chester, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891908653.
Healthcare Provider's Profile
Full Name | Ms Gina M Licciardello |
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Gender | Female |
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Speciality | Counselor |
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Location | 610 Millers Hill, Kennet Square, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1891908653
- Provider Enumeration Date: 05/08/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Gina M Licciardello such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891908653 | NPI | - | NPPES |
PC001538 | Other | PA | BUREAU OF PROFESSIONAL AN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | PC001538 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Gina M Licciardello is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Gina M Licciardello, LPC 747 Bradford Terrace, West Chester, PA 19382-1803 Ph: (610) 444-5879 | Ms Gina M Licciardello, LPC 610 Millers Hill, Kennet Square, PA 19348 Ph: (610) 444-5879 |
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