Individual
CALEB JOSEPH GINGERICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
194 E EMMITT AVE, WAVERLY, OH 45690-1334
(740) 835-8485
Mailing address
12319 STATE ROUTE 104, WAVERLY, OH 45690-8606
(740) 947-6727
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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