MS. Gina Michelle Sewell, LPC, NCC

NPI #1568970515 in Meridian, Idaho

Provider Information

NPI Number: 1568970515
Entity Type: Individual
Name: MS. Gina Michelle Sewell, LPC, NCC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: LPC, NCC
Enumeration Date: Jan 11, 2018
Last Updated: Jan 11, 2018

Practice Location

Address: 2176 E FRANKLIN RD STE 100
City: Meridian
State: Idaho
ZIP Code: 83642-8009
Phone: (208) 515-7661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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