Individual
MICHAEL JACK GINTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSW
Contact information
Practice address
1551 JENNINGS MILL RD, WATKINSVILLE, GA 30677-7244
(404) 450-1300
Mailing address
1551 JENNINGS MILL RD, WATKINSVILLE, GA 30677-7244
(404) 450-1300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/19/2019
Last updated
10/05/2020
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