Provider Demographics
NPI:1437797958
Name:GEFFERT, GENEVIEVE HELEN (LPC)
Entity Type:Individual
Prefix:MISS
First Name:GENEVIEVE
Middle Name:HELEN
Last Name:GEFFERT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:GENEVIEVE
Other - Middle Name:
Other - Last Name:HINES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:W8632 COUNTY ROAD I
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:WI
Mailing Address - Zip Code:53952-8874
Mailing Address - Country:US
Mailing Address - Phone:608-369-2669
Mailing Address - Fax:
Practice Address - Street 1:124 GRAYSIDE AVE
Practice Address - Street 2:
Practice Address - City:MAUSTON
Practice Address - State:WI
Practice Address - Zip Code:53948-1913
Practice Address - Country:US
Practice Address - Phone:608-847-7575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-16
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI10232-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional