Provider Demographics
NPI:1821752122
Name:TELFER, GENEVE REYNOLDS (MS, LPC)
Entity Type:Individual
Prefix:
First Name:GENEVE
Middle Name:REYNOLDS
Last Name:TELFER
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17055-5482
Mailing Address - Country:US
Mailing Address - Phone:717-602-3143
Mailing Address - Fax:
Practice Address - Street 1:1111 RIDGE DR
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-5482
Practice Address - Country:US
Practice Address - Phone:717-602-3143
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-24
Last Update Date:2021-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC010270101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional