Antonia J Genisio, LCPC
NPI #1245961606 in Jacksonville, Illinois
Provider Information
- NPI Number
- 1245961606
- Entity Type
- Individual
- Name
- Antonia J Genisio, LCPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LCPC
- Enumeration Date
- Jun 17, 2022
- Last Updated
- Dec 20, 2024
Practice Location
- Address
- 15 FOUNDERS LN STE 100
- City
- Jacksonville
- State
- Illinois
- ZIP Code
- 62650-3924
- Phone
- (217) 243-0300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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