-- COLLEEN M GINGERICH -- LPC
Individual Provider (NPI-1)
Active
Social Worker
Provider Information
- NPI Number
1467572974- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LPC
- Status
- Active
Contact & Location
- Address
- 47589 STATE HIGHWAY 78, MOUNTAIN HOME, ID, 836475081
- Phone
- (208) 845-2868
Specialties & Taxonomies
Counselor, Mental Health
License: ID #LPC-3380
Social Worker
Primary License: ID #LSW-610