Genevieve A Balajadia, MA, T-CADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Dubuque, IA
NPI 1073079679 · NPPES record last updated Feb 19, 2019
Key facts
- NPI
- 1073079679
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- T18043 (IA)
- Practice address
- 799 Main St Ste 110
Dubuque, IA 52001-6825 - Phone
- (563) 582-3784
- Fax
- (563) 582-4006
- NPI assigned
- Feb 19, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T18043 | IA | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | T18043 | IA | Yes |
Addresses
Primary practice location
799 Main St Ste 110
Dubuque, IA 52001-6825
Mailing address
799 Main St Ste 110
Dubuque, IA 52001-6825
Phone (563) 582-3784
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2580 | Medicaid | IA |
Other providers in Dubuque, IA
- Scott M. Bainbridge
- Christopher John Baird
- Benjamin N Baker
- Mackenzie Mae Baker
- Sharana Baker
- Balance Integrative Health & Wellness
- Eric Balayti
- Jill Ballantine
- Lori M Ballew
- Michael James Banyasz
All providers in Dubuque, IA · Addiction (Substance Use Disorder) Counselor in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.