| Doctor Name: | SUZANNE MARIE GENO |
| NPI Number: | 1205046604 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A.C.P., L.A.D.C. |
| License Number: | 460 |
| Business Practice Address: | Sunset Farms Office Bldg 3rd Floor Suite 9 Woodstock, VT - 05091 |
| Business Phone Number: | 8026724277 |
| Business Fax Number: | 8026724270 |
| Mailing Address: | 100 Parsonage Rd, Po Box 250 BRIDGEWATER |
| State: | VT |
| Postal Code: | 05034 |
| Phone Number: | 8026724277 |
| Fax Number: | 8026724270 |
| NPI Enumeration Date: | 05/23/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 460 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | VT |
| 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 |