Individual
GINI M ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
BLANDY WAY OFFICE PARK 60, HIGHWAY 22 WEST, MILLEDGEVILLE, GA 31061
(478) 451-2700
Mailing address
BLANDY WAY OFFICE PARK 60, HIGHWAY 22 WEST, MILLEDGEVILLE, GA 31061
(478) 451-2700
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC009485
GA
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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