Licia Ginne, MFT21421
NPI #1548699853 in Capitola, California
Provider Information
- NPI Number
- 1548699853
- Entity Type
- Individual
- Name
- Licia Ginne, MFT21421
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Marriage & Family Therapist
- Credential
- MFT21421
- Enumeration Date
- Nov 6, 2013
- Last Updated
- Dec 29, 2021
Practice Location
- Address
- 820 BAY AVE SUITE 205
- City
- Capitola
- State
- California
- ZIP Code
- 95010
- Phone
- (831) 471-8647
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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