Provider Demographics
NPI:1942850169
Name:GEISEL, JANECE (LCPC)
Entity Type:Individual
Prefix:
First Name:JANECE
Middle Name:
Last Name:GEISEL
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:912 12TH AVE S STE 208
Mailing Address - Street 2:
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83651-4681
Mailing Address - Country:US
Mailing Address - Phone:208-740-1183
Mailing Address - Fax:
Practice Address - Street 1:912 12TH AVE S STE 208
Practice Address - Street 2:
Practice Address - City:NAMPA
Practice Address - State:ID
Practice Address - Zip Code:83651-4681
Practice Address - Country:US
Practice Address - Phone:208-740-1183
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-19
Last Update Date:2023-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLPC-7434101YP2500X
IDLCPC-8906101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional