Organization
FRESH START COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VEROINCA RAMOS-CLARK MAC (DIRECTOR)
(219) 548-9400
Entity
Organization
Contact information
Practice address
1552 W LINCOLNWAY, VALPARAISO, IN 46385-0300
(219) 548-9400
(219) 548-9444
Mailing address
1552 W LINCOLNWAY, VALPARAISO, IN 46385-0300
(219) 548-9400
(219) 548-9444
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1194-0-ASO
IN
101YM0800X
Mental Health Counselor
1194-0-ASO
IN
Other
Enumeration date
10/23/2009
Last updated
10/23/2009
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