Provider Demographics
NPI:1861837189
Name:GINOP, JODY R (NCC LPC CAADC)
Entity type:Individual
Prefix:MRS
First Name:JODY
Middle Name:R
Last Name:GINOP
Suffix:
Gender:F
Credentials:NCC LPC CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11517 HEILMAN RD
Mailing Address - Street 2:
Mailing Address - City:LEVERING
Mailing Address - State:MI
Mailing Address - Zip Code:49755-9571
Mailing Address - Country:US
Mailing Address - Phone:231-420-3828
Mailing Address - Fax:231-259-1002
Practice Address - Street 1:11493 N STRAITS HWY
Practice Address - Street 2:
Practice Address - City:CHEBOYGAN
Practice Address - State:MI
Practice Address - Zip Code:49721-9001
Practice Address - Country:US
Practice Address - Phone:231-420-3828
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-30
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401012533101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional