Provider Demographics
NPI:1679011167
Name:FRENCH, GENEVA (CAADC)
Entity Type:Individual
Prefix:
First Name:GENEVA
Middle Name:
Last Name:FRENCH
Suffix:
Gender:F
Credentials:CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:ALPENA
Mailing Address - State:MI
Mailing Address - Zip Code:49707-1832
Mailing Address - Country:US
Mailing Address - Phone:989-356-6649
Mailing Address - Fax:989-356-3559
Practice Address - Street 1:630 WALNUT ST
Practice Address - Street 2:
Practice Address - City:ALPENA
Practice Address - State:MI
Practice Address - Zip Code:49707-1832
Practice Address - Country:US
Practice Address - Phone:989-356-6649
Practice Address - Fax:989-356-3559
Is Sole Proprietor?:No
Enumeration Date:2017-02-06
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401009162101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)