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Organization
BRIDGE TO PEACE COUNSELING, LLC
Active
Organization
BRIDGE TO PEACE COUNSELING, LLC
Active
Other names
Bridge to Peace Counseling, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KYM A GROCEMAN LMHC (OWNER)
(219) 627-1555
Entity
Organization
Contact information
Practice address
502 WALL ST STE 105, VALPARAISO, IN 46383-2599
(219) 627-1555
Mailing address
502 WALL ST STE 105, VALPARAISO, IN 46383-2599
(219) 627-1555
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39002848A
BEHAVIORAL HEALTH AND HUMAN SERVICES LICENSING BOARD
IN
Enumeration date
11/30/2020
Last updated
12/02/2020
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