Individual
COURTNEY JACLYN GINGRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
545 LAUREL ST, SAN DIEGO, CA 92101-1634
(619) 233-4399
(619) 233-0453
Mailing address
545 LAUREL ST, SAN DIEGO, CA 92101-1634
(619) 233-4399
(619) 233-0453
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
APCC11756
CA
101YP2500X
Professional Counselor
Primary
APCC11756
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2021
Last updated
05/10/2024
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