Provider Demographics
NPI:1134454721
Name:GINSBURG, RAYMOND FRANCIS (LPC)
Entity type:Individual
Prefix:
First Name:RAYMOND
Middle Name:FRANCIS
Last Name:GINSBURG
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 COMMERCE SQ
Mailing Address - Street 2:
Mailing Address - City:MICHIGAN CITY
Mailing Address - State:IN
Mailing Address - Zip Code:46360-3288
Mailing Address - Country:US
Mailing Address - Phone:219-879-3283
Mailing Address - Fax:219-879-6965
Practice Address - Street 1:340 COMMERCE SQ
Practice Address - Street 2:
Practice Address - City:MICHIGAN CITY
Practice Address - State:IN
Practice Address - Zip Code:46360-3374
Practice Address - Country:US
Practice Address - Phone:219-879-3283
Practice Address - Fax:219-879-6965
Is Sole Proprietor?:No
Enumeration Date:2009-10-15
Last Update Date:2009-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional