Individual
MICHAEL PAUL PLEBANSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADAC II
Contact information
Practice address
395 CHERRYFIELD DR, VALPARAISO, IN 46385-8422
(219) 240-5396
Mailing address
395 CHERRYFIELD DR, VALPARAISO, IN 46385-8422
(219) 763-8112
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
8600039A
IN
1041C0700X
Clinical Social Worker
Primary
34010017A
IN
Other
Enumeration date
02/12/2018
Last updated
09/06/2024
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