Individual
STEVEN GINTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
13 PELHAM RD, LEXINGTON, MA 02421-5707
(781) 274-6800
Mailing address
13 PELHAM RD, LEXINGTON, MA 02421-5707
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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