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Organization
FAMILY SERVICE ASOCIATION OF THE WABASH VALLEY, INC.
Active
Organization
FAMILY SERVICE ASOCIATION OF THE WABASH VALLEY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANET A MCBRIDE LCSW, LCAC (EXECUTIVE DIRECTOR)
(812) 232-4349
Entity
Organization
Contact information
Practice address
1111 WABASH AVE, TERRE HAUTE, IN 47807-3211
(812) 232-4349
(812) 232-2308
Mailing address
1111 WABASH AVE, TERRE HAUTE, IN 47807-3211
(812) 232-4349
(812) 232-2308
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200232410A
—
IN
Enumeration date
08/20/2006
Last updated
04/28/2016
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