Individual
MR. IAN C GINGRICH-GAYLORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
1901 E 1ST ST, NEWTON, KS 67114-5010
(316) 284-6361
Mailing address
1901 E 1ST ST, NEWTON, KS 67114-5010
(316) 284-6361
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2192
KS
Other
Enumeration date
09/29/2010
Last updated
12/19/2014
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