person
Antonia J Genisio
Professional Counselor in Jacksonville, Illinois
NPI 1245961606

Antonia J Genisio is a Professional Counselor based in Springfield, IL and is specialized in Professional. Antonia J Genisio practices in Jacksonville, IL. The NPI Number for Antonia J Genisio is 1245961606 and holds a License No. 178018257 (Illinois).

The current practice location address for Antonia J Genisio is 15 Founders Ln Ste 100, Jacksonville, IL and can be reached out via phone at 217-243-0300 and via fax at 217-245-6775. You can also correspond with Antonia J Genisio through the mailing address at PO BOX 3428, SPRINGFIELD, IL - 62708-3428 (mailing address contact number: 217-588-2624).

Location: 15 Founders Ln Ste 100, Jacksonville, IL, 62708-3428
person
Provider Profile Details
NPI Number
1245961606
Provider Name
Antonia J Genisio
Credential
Provider Entity Type
Individual
Gender
Female
Address
15 Founders Ln Ste 100, Jacksonville, IL, 62708-3428
Phone Number
217-243-0300
Fax Number
217-245-6775
Provider Enumeration Date
06/17/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15 Founders Ln Ste 100
City
State
Zip
62650-3924
Phone Number
217-243-0300
Fax Number
217-245-6775
person
Provider Business Mailing Address Details
Address
15 Founders Ln Ste 100
City
State
Zip
62650-3924
Phone Number
217-243-0300
Fax Number
217-245-6775
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
178018257 (Illinois)
Definition
Definition to come...
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