| Doctor Name: | DR. JAMES M GEIDNER |
| NPI Number: | 1083883128 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCPC |
| License Number: | 3788-125 |
| Business Practice Address: | 1500 N 34th St Suite 300 Superior, WI - 548804477 |
| Business Phone Number: | 2183101693 |
| Business Fax Number: | 8887244599 |
| Mailing Address: | 1500 N. 34th Street, Suite 300 SUPERIOR |
| State: | WI |
| Postal Code: | 548804500 |
| Phone Number: | 2183101693 |
| Fax Number: | 8887244599 |
| NPI Enumeration Date: | 02/22/2008 |
| NPI Last Update Date: | 04/08/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 3788-125 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |