Provider Demographics
NPI:1730515073
Name:GIOVANNETTI, MARCELLE (MS,NCC,CADC,LPC)
Entity type:Individual
Prefix:
First Name:MARCELLE
Middle Name:
Last Name:GIOVANNETTI
Suffix:
Gender:F
Credentials:MS,NCC,CADC,LPC
Other - Prefix:
Other - First Name:MARCELLE
Other - Middle Name:
Other - Last Name:LASKARY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC,CADC,NCC,EMDR
Mailing Address - Street 1:601 ROXBURY RD
Mailing Address - Street 2:
Mailing Address - City:SHIPPENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17257-9302
Mailing Address - Country:US
Mailing Address - Phone:717-532-4217
Mailing Address - Fax:
Practice Address - Street 1:1 COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-6805
Practice Address - Country:US
Practice Address - Phone:717-796-5357
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-18
Last Update Date:2019-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC008945101YP2500X
PA7880101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)