Individual
GAYLA IGNACIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A./L.L.P.C.
Contact information
Practice address
1206 CLINTON RD, JACKSON, MI 49202-2005
(517) 783-4250
Mailing address
1206 CLINTON RD, JACKSON, MI 49202-2005
(517) 783-4250
(517) 783-4164
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401012612
MI
Other
Enumeration date
04/08/2014
Last updated
04/08/2014
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