Healthcare Provider Details
I. General information
NPI: 1194850982
Provider Name (Legal Business Name): JOANN GEIGER LPC, SAC-IT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/22/2007
Last Update Date: 09/22/2020
Certification Date: 09/22/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
JUNEAU COUNTY DEPT OF HUMAN SERVICES 200 HICKORY ST
MAUSTON WI
53948
US
IV. Provider business mailing address
JUNEAU COUNTY DEPT OF HUMAN SERVICES 200 HICKORY ST
MAUSTON WI
53948
US
V. Phone/Fax
- Phone: 608-847-2400
- Fax: 608-847-9421
- Phone: 608-847-2400
- Fax: 608-847-9421
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | 18627-130 |
| License Number State | WI |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 3604-125 |
| License Number State | WI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: