Individual
MRS. DIANA ANN GEISINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, LADC
Contact information
Practice address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1901
(320) 229-4977
(320) 229-5109
Mailing address
PO BOX 907, ANNANDALE, MN 55302-0907
(320) 274-6802
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305425
MN
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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