Individual
JEANNA LE SUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S
Contact information
Practice address
424 E SOUTHWAY BLVD, KOKOMO, IN 46902-3814
(765) 480-9184
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 254-5133
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
IN
106H00000X
Marriage & Family Therapist
Primary
—
IN
Other
Enumeration date
04/10/2007
Last updated
07/28/2016
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