Organization
MEGAN GINGO COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN GINGO LICSW (OWNER)
(312) 330-8416
Entity
Organization
Contact information
Practice address
3340 REPUBLIC AVE, ST LOUIS PARK, MN 55426-4154
(612) 444-1740
Mailing address
3340 REPUBLIC AVE, ST LOUIS PARK, MN 55426-4154
(612) 444-1740
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
21659
MN
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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