Individual
DANIEL CERVANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
720 N MARR RD, COLUMBUS, IN 47201-6660
(812) 314-3400
Mailing address
645 S ROGERS ST, BLOOMINGTON, IN 47403-2353
(812) 339-1691
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39004284A
IN
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
01/04/2018
Last updated
10/25/2022
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