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Organization
CAPITOL CITY FAMILY AND EDUCATION SERVICES
Active
Organization
CAPITOL CITY FAMILY AND EDUCATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRISCILLA SMITH (CHIEF EXECUTIVE OFFICER)
(219) 331-4794
Entity
Organization
Contact information
Practice address
6049 BROADWAY, MERRILLVILLE, IN 46410-2619
(219) 331-4794
(219) 756-1503
Mailing address
6049 BROADWAY, MERRILLVILLE, IN 46410-2619
(219) 331-4794
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
06/05/2012
Last updated
07/21/2022
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