Provider Demographics
NPI:1619701158
Name:DILAURI, GIOVANNA MARIE (LAC, NCC)
Entity type:Individual
Prefix:MS
First Name:GIOVANNA
Middle Name:MARIE
Last Name:DILAURI
Suffix:
Gender:F
Credentials:LAC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 BARNIDA DR
Mailing Address - Street 2:
Mailing Address - City:EAST HANOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07936-1402
Mailing Address - Country:US
Mailing Address - Phone:973-975-2729
Mailing Address - Fax:
Practice Address - Street 1:5 CARROLL AVE STE 5
Practice Address - Street 2:
Practice Address - City:PENNSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08070-2129
Practice Address - Country:US
Practice Address - Phone:856-209-3799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-28
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00781400101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health