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Organization
FAITHFUL COUNSELING AND THERAPY SERVICES, LLC
Active
Organization
FAITHFUL COUNSELING AND THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE D. SARDINA MA LCPC LMHC (PRESIDENT)
(312) 406-3776
Entity
Organization
Contact information
Practice address
57 MICHIGAN AVE, STE 100, VALPARAISO, IN 46383
(312) 406-3776
Mailing address
5401 4TH AVE, VALPARAISO, IN 46383-1170
(312) 406-3776
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1302266
ANTHEM BLUE CROSS AND BLUE SHIELD
—
Enumeration date
05/12/2022
Last updated
05/12/2022
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