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Organization
FONTHILL BEHAVIORAL HEALTH
Active
Organization
FONTHILL BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROB DANZMAN NCC, LPC (CLINICAL DIRECTOR)
(812) 727-0722
Entity
Organization
Contact information
Practice address
221 E KIRKWOOD AVE, SUITE 5, BLOOMINGTON, IN 47408-3559
(812) 727-0722
Mailing address
221 E KIRKWOOD AVE, SUITE 5, BLOOMINGTON, IN 47408-3559
(812) 727-0722
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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