Individual
GINA LINDSEY FORTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
1555 INDUSTRIAL DR, OWOSSO, MI 48867
(989) 723-6791
Mailing address
1555 INDUSTRIAL DR, OWOSSO, MI 48867-9775
(989) 723-6791
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401014236
MI
Other
Enumeration date
11/11/2014
Last updated
08/26/2019
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