Individual
JACQUELINE GINGERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C
Contact information
Practice address
205 107TH ST, OROFINO, ID 83544-9381
(208) 476-7483
(208) 476-3144
Mailing address
13814 W 2ND AVE, OROFINO, ID 83544-9109
(509) 780-1111
(208) 476-3144
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-5523
ID
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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