Organization
ADAPTIVE BEHAVORIAL COUNSELING RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER D MUNN PHD (OWNER)
(303) 296-2244
Entity
Organization
Contact information
Practice address
1420 COMMODORE LN, PORTER, IN 46304-9571
(303) 296-2244
(303) 296-1709
Mailing address
1420 COMMODORE LN, PORTER, IN 46304-9571
(303) 296-2244
(303) 296-1709
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20040651A
IN
Other
Enumeration date
01/08/2007
Last updated
06/13/2008
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