Individual provider · Type 1 NPI

Antonia J. Genisio, LCPC

Professional Counselor · Jacksonville, IL

NPI number 1245961606 Active

Practice location

15 Founders Ln Ste 100
Jacksonville, IL 62650-3924

Call (217) 243-0300 Map

Fax (217) 245-6775

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180016629 (IL)

Professional Counselor: Definition to come...

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About NPI 1245961606

Antonia J. Genisio, LCPC's National Provider Identifier is 1245961606, issued on Jun 17, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Jacksonville, IL. The record was last updated on Dec 20, 2024.