Individual
GENISE LYNN LALOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, CAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
95-302S
WV
1041C0700X
Clinical Social Worker
Primary
AP00940219
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95-102S
CCS
WV
01
—
95-302S
CCAC
WV
01
—
AP00940219
LSW
WV
Enumeration date
03/20/2007
Last updated
09/11/2025
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