Organization
THE FRONT PORCH
Active
Other names
KBlumentritt LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHY ELAINE BLUMENTRITT LMFT (DIRECTOR/OWNER)
(574) 210-8644
Entity
Organization
Contact information
Practice address
515 LINCOLNWAY W, MISHAWAKA, IN 46544-1808
(574) 210-8644
Mailing address
515 LINCOLNWAY W, MISHAWAKA, IN 46544-1808
(574) 210-8644
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
85000011A
IN
Other
Enumeration date
01/23/2016
Last updated
01/23/2016
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