Individual
TINA JEAN GENARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4212 CYPRESS PARK DR STE F, ROANOKE, VA 24018-8417
(540) 283-5215
(540) 400-8177
Mailing address
4212 CYPRESS PARK DR STE F, ROANOKE, VA 24018-8417
(540) 283-5215
(540) 400-8177
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701003792
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010129800
—
VA
Enumeration date
07/08/2006
Last updated
03/28/2017
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