Provider Demographics
NPI:1730394685
Name:GIAMMARCO, VINCENT AMERICO (LPCC, CCDC 1)
Entity type:Individual
Prefix:
First Name:VINCENT
Middle Name:AMERICO
Last Name:GIAMMARCO
Suffix:
Gender:M
Credentials:LPCC, CCDC 1
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1819 MARIETTA AVE
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44134-2051
Mailing Address - Country:US
Mailing Address - Phone:216-398-3724
Mailing Address - Fax:
Practice Address - Street 1:1819 MARIETTA AVE
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44134-2051
Practice Address - Country:US
Practice Address - Phone:216-398-3724
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0006887101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health