Basic Information
| Provider Information | |||||||||
| NPI: | 1730734666 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CHAPMAN | ||||||||
| FirstName: | GIANNA | ||||||||
| MiddleName: | |||||||||
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| Credential: | MA, LPC, LCADC, ACS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4345 ROUTE 9 N # A | ||||||||
| Address2: | |||||||||
| City: | FREEHOLD | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 077284215 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7324315300 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 4345 ROUTE 9 N # A | ||||||||
| Address2: | |||||||||
| City: | FREEHOLD | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 077284215 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7324315300 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/07/2019 | ||||||||
| LastUpdateDate: | 08/07/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YA0400X | 37LC00263300 | NJ | N | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | 101YP2500X | 37PC00567400 | NJ | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.