Provider Demographics
NPI:1972850246
Name:LEDET, GINGER ANN (LPC)
Entity Type:Individual
Prefix:MRS
First Name:GINGER
Middle Name:ANN
Last Name:LEDET
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:GINGER
Other - Middle Name:ANN
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:4936 DIAMOND TRACE TRL
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76244-7977
Mailing Address - Country:US
Mailing Address - Phone:817-239-4377
Mailing Address - Fax:
Practice Address - Street 1:4936 DIAMOND TRACE TRL
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76244-7977
Practice Address - Country:US
Practice Address - Phone:817-239-4377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-06
Last Update Date:2012-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63781101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor