Organization
CENTER FOR TRAUMA THERAPY AND COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM GINGERICH LISW (OWNER)
(937) 844-3927
Entity
Organization
Contact information
Practice address
8200 STATE ROUTE 366, RUSSELLS POINT, OH 43348-9670
(937) 844-3927
Mailing address
1112 OMAHA RD, BELLEFONTAINE, OH 43311-2355
(937) 844-3927
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/26/2019
Last updated
12/03/2019
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