Jacqueline Gingerich, L.P.C

NPI #1114339769 in Orofino, Idaho

Provider Information

NPI Number
1114339769
Entity Type
Individual
Name
Jacqueline Gingerich, L.P.C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Credential
L.P.C
Enumeration Date
May 29, 2014
Last Updated
May 29, 2014

Practice Location

Address
205 107TH ST
State
Idaho
ZIP Code
83544-9381
Phone
(208) 476-7483

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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