Individual
MARK A GERISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
1108 S VAN DYKE RD, BAD AXE, MI 48413-9615
(989) 269-9293
(989) 269-7544
Mailing address
1108 S VAN DYKE RD, BAD AXE, MI 48413-9615
(989) 269-9293
(989) 269-7544
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401008649
MI
Other
Enumeration date
05/07/2010
Last updated
05/07/2010
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