Individual
ANDREW GERODIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC TEMP, CADC
Contact information
Practice address
3320 W 4TH ST, SIOUX CITY, IA 51103-3200
(712) 202-0777
(712) 202-0780
Mailing address
3320 W 4TH ST, SIOUX CITY, IA 51103-3200
(712) 202-0777
(712) 202-0780
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
14020
IA
101YM0800X
Mental Health Counselor
Primary
079514
IA
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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