Individual
MR. MARK GEOFFREY GERIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA LLPC
Contact information
Practice address
751 E GRAND BLVD, DETROIT, MI 48207-2529
(313) 922-2222
(313) 922-8771
Mailing address
37512 CHARTER OAKS, CLINTON TOWNSHIP, MI 48036-2422
(586) 477-0005
(586) 477-0005
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6401006214
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
08/05/2009
Last updated
05/17/2010
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