Individual
BELINDA C WITHEROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1501 STATE ST, LA PORTE, IN 46350-3115
(219) 362-5000
(219) 362-5005
Mailing address
1501 STATE ST, LA PORTE, IN 46350-3115
(219) 362-5000
(219) 362-5005
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/18/2009
Last updated
06/29/2010
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