Cheryl A Genoch, LADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Wadena, MN
NPI 1508553470 · NPPES record last updated Apr 20, 2023
Key facts
- NPI
- 1508553470
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 124 1St St SE
Wadena, MN 56482-1571 - Phone
- (218) 631-7605
- Fax
- (218) 631-7616
- NPI assigned
- Apr 20, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wadena County Social Services | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
124 1St St SE
Wadena, MN 56482-1571
Mailing address
124 1St St SE
Wadena, MN 56482-1571
Phone (218) 631-7605
Other providers in Wadena, MN
- Fair Oaks Nursing and Rehab, LLC
- Peter W Finke
- Dana Forsberg
- Allison Jane Freese-Johnson
- Freshwater Education District
- Patricia Godwin
- Wendy Amanda Gravelle
- Cheryl Lynn Greenwaldt
- Rebecca Grieger
- Kassandra Grimes
All providers in Wadena, MN · Addiction (Substance Use Disorder) Counselor in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2023. 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.