Individual provider · Type 1 NPI

Maureen Fitzgerald Genge, CASEMANAGER

Addiction (Substance Use Disorder) Counselor · Eureka, CA

NPI number 1790813558 Active

Practice location

720 Wood St
Eureka, CA 95501-4413

Mailing address

4168 Williams St
Eureka, CA 95503-6473

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X061041 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1790813558

Maureen Fitzgerald Genge, CASEMANAGER's National Provider Identifier is 1790813558, issued on Mar 1, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Eureka, CA. The record was last updated on Jul 8, 2007.