Individual
JESSICA KORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
910 E WASHINGTON ST STE 4, WINCHESTER, IN 47394-9280
(812) 558-0574
Mailing address
3 BURLINGTON WOODS DR STE 301, BURLINGTON, MA 01803-4514
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
99104370A
IN
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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