Provider Demographics
NPI:1285349225
Name:AIVES, GIOVANNA (MA, LPC, ATR-BC)
Entity type:Individual
Prefix:
First Name:GIOVANNA
Middle Name:
Last Name:AIVES
Suffix:
Gender:F
Credentials:MA, LPC, ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7211 AUTUMN DR
Mailing Address - Street 2:
Mailing Address - City:TINTON FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-7459
Mailing Address - Country:US
Mailing Address - Phone:732-822-3769
Mailing Address - Fax:
Practice Address - Street 1:7211 AUTUMN DR
Practice Address - Street 2:
Practice Address - City:TINTON FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07753-7459
Practice Address - Country:US
Practice Address - Phone:732-822-3769
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-13
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00913700101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty