Individual
ANTONIA J GENISIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
15 FOUNDERS LN STE 100, JACKSONVILLE, IL 62650-3924
(217) 243-0300
(217) 245-6775
Mailing address
15 FOUNDERS LN STE 100, JACKSONVILLE, IL 62650-3924
(217) 243-0300
(217) 245-6775
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180016629
IL
Other
Enumeration date
06/17/2022
Last updated
12/20/2024
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