Doctor Name: | MARTHA E GERECKE |
NPI Number: | 1114363439 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LLPC |
License Number: | 6401013173 |
Business Practice Address: | 1420 University Flint, MI - 485076208 |
Business Phone Number: | 8102380475 |
Business Fax Number: | 8102389270 |
Mailing Address: | 1420 University Ave, FLINT |
State: | MI |
Postal Code: | 485046208 |
Phone Number: | 8102380475 |
Fax Number: | 8102389270 |
NPI Enumeration Date: | 05/14/2013 |
NPI Last Update Date: | 11/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 6401013173 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |