Individual
CHASE DUDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
620 8TH AVE, TERRE HAUTE, IN 47804-2744
(812) 231-8200
Mailing address
PO BOX 4323, TERRE HAUTE, IN 47804-0323
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39003319A
IN
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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