Individual
KAY R CORREIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LMHC NCC
Contact information
Practice address
6910 N MAIN STREET, GRANGER, IN 46530
(574) 286-6172
(574) 273-8743
Mailing address
6910 N MAIN STREET, UNIT 12 BLDG 12 SUITE H, GRANGER, IN 46530
(574) 286-6172
(574) 273-8743
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0701002339
VA
101YM0800X
Mental Health Counselor
Primary
39000392
IN
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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