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Organization
INDIGO COUNSELING SERVICES, INC
Active
Organization
INDIGO COUNSELING SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGG RICHARDS LPCC (PRESIDENT)
(419) 775-1771
Entity
Organization
Contact information
Practice address
1230 LEXINGTON AVE STE 100, MANSFIELD, OH 44907-2679
(419) 775-1771
(419) 775-1088
Mailing address
1230 LEXINGTON AVE STE 100, MANSFIELD, OH 44907-2679
(419) 775-1771
(419) 775-1088
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
S1050
OH
103T00000X
Psychologist
4741
OH
103TA0400X
Addiction (Substance Use Disorder) Psychologist
892648
OH
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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