Organization
CREATIVE COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA K. SHAIN LCSW (CLINICAL SOCIAL WORKER)
(765) 827-5610
Entity
Organization
Contact information
Practice address
1956 OHIO AVE, CONNERSVILLE, IN 47331-2858
(765) 827-5610
(765) 825-9440
Mailing address
1956 OHIO AVE, CONNERSVILLE, IN 47331-2858
(765) 827-5610
(765) 825-9440
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004224A
IN
Other
Enumeration date
01/02/2007
Last updated
06/20/2008
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