Provider Demographics
NPI:1831905306
Name:GEIGER, KELSEY (MA, LPCC)
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:
Last Name:GEIGER
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5515 SHAMROCK RD
Mailing Address - Street 2:
Mailing Address - City:WAUNAKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53597-9012
Mailing Address - Country:US
Mailing Address - Phone:608-843-9016
Mailing Address - Fax:
Practice Address - Street 1:5515 SHAMROCK RD
Practice Address - Street 2:
Practice Address - City:WAUNAKEE
Practice Address - State:WI
Practice Address - Zip Code:53597-9012
Practice Address - Country:US
Practice Address - Phone:608-843-9016
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0022321101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health