Healthcare Provider Details

I. General information

NPI: 1619365541
Provider Name (Legal Business Name): LUKE JAMES GEIGER QMHCP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/30/2014
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

655 HILLTOP DR APT 94
REDDING CA
96003-3741
US

IV. Provider business mailing address

655 HILLTOP DR APT 94
REDDING CA
96003-3741
US

V. Phone/Fax

Practice location:
  • Phone: 541-613-5973
  • Fax:
Mailing address:
  • Phone: 541-613-5973
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPCC21618
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: