Individual
MS. GERI LEIGH IACONIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC
Contact information
Practice address
7627 N VENOY RD, WESTLAND, MI 48185-1452
(734) 263-7220
Mailing address
7627 N VENOY RD, WESTLAND, MI 48185-1452
(734) 263-7220
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401015377
MI
Other
Enumeration date
09/08/2010
Last updated
02/03/2022
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