Individual
MS. JENNIFER GWYN OGINZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3716 MELROSE AVE NW, ROANOKE, VA 24017
(540) 362-0360
(540) 283-2546
Mailing address
3716 MELROSE AVE NW, ROANOKE, VA 24017-2716
(540) 362-0360
(540) 283-2546
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701002148
VA
101YP2500X
Professional Counselor
0701002148
VA
Other
Enumeration date
05/16/2006
Last updated
11/27/2018
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