Kelly Gingrich, MA

NPI #1851068019 in Kenilworth, Illinois

Provider Information

NPI Number: 1851068019
Entity Type: Individual
Name: Kelly Gingrich, MA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: MA
Enumeration Date: Aug 25, 2021
Last Updated: Aug 25, 2021

Practice Location

Address: 400 GREEN BAY RD
City: Kenilworth
State: Illinois
ZIP Code: 60043-1001
Phone: (847) 919-9096

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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