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Individual
PRENTICE GEARY
Active
Individual
PRENTICE GEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC III, QMHP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
18-01-43
OR
101YM0800X
Mental Health Counselor
Primary
26-QMHP-R-4321
OR
171M00000X
Case Manager/Care Coordinator
21-QMHA-II-000009
OR
Other
Enumeration date
11/13/2018
Last updated
06/25/2026
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