Individual
JORDAN GERICKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6702 KEATON CORPORATE PKWY, O FALLON, MO 63368-8613
(636) 486-6965
Mailing address
6702 KEATON CORPORATE PKWY STE 103, O FALLON, MO 63368-8630
(636) 486-6965
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/02/2020
Last updated
02/08/2024
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