Individual
JOHN GINGLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
206 E REYNOLDS DR STE F2, RUSTON, LA 71270-2809
(318) 224-7223
(318) 415-1004
Mailing address
206 E REYNOLDS DR STE F2, RUSTON, LA 71270-2809
(318) 224-7223
(318) 415-1004
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5385
LA
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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