Jordan Gericke, LPC Valid NPI

Individual provider · Mental Health Counselor · O Fallon, MO

NPI

1154928117

Type

Individual (Type 1)

Primary specialty

Mental Health Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YM0800X

Sex

Female

Sole proprietor

Yes

Enumerated

2020-10-02

Last updated

2024-02-08