Individual provider · Type 1 NPI

Mark Geoffrey Gerios, MA LLPC

Addiction (Substance Use Disorder) Counselor · Detroit, MI

NPI number 1629209887 Active

Practice location

751 E Grand Blvd
Detroit, MI 48207-2529

Fax (313) 922-8771

Mailing address

37512 Charter Oaks
Clinton Township, MI 48036-2422

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X6401006214 (MI)
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed

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About NPI 1629209887

Mark Geoffrey Gerios, MA LLPC's National Provider Identifier is 1629209887, issued on Aug 5, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Detroit, MI. The record was last updated on May 17, 2010.