Organization
PHOENIX COUNSELING SERVICES, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA A. KUBOSKE L.C.S.W. (PRESIDENT)
(574) 276-8143
Entity
Organization
Contact information
Practice address
425 PARK PLACE CIRCLE, SUITE 150, MISHAWAKA, IN 46545
(574) 276-8143
(574) 273-2477
Mailing address
P.O. BOX 1137, SOUTH BEND, IN 46624
(574) 276-8143
(574) 273-2477
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
34003645A
IN
Other
Enumeration date
10/02/2006
Last updated
08/22/2020
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