Individual
MATTHEW GERALDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC-S, LICDC
Contact information
Practice address
9220 MENTOR AVE, MENTOR, OH 44060-6412
(440) 639-3581
(440) 205-1009
Mailing address
9220 MENTOR AVE, MENTOR, OH 44060-6412
(440) 639-3581
(440) 205-1009
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.2102407SUPV
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0379000
—
OH
Enumeration date
11/18/2017
Last updated
08/19/2024
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