Individual
MRS. GINA WISINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC-ASSOCIATE
Contact information
Practice address
5100 MIDWAY DR STE 209, TEMPLE, TX 76502-1471
(512) 843-0876
Mailing address
2553 BELLE HUBBARD TRL, BELTON, TX 76513-7773
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88903
TX
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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