Organization
VIETNAM VETERANS FAMILY ASSISTANCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA A LOHREY (BILLING SPECIALIST)
(765) 620-8529
Entity
Organization
Contact information
Practice address
723 W CENTENNIAL AVE, MUNCIE, IN 47303-2974
(765) 288-4015
(765) 288-4047
Mailing address
723 W CENTENNIAL AVE, MUNCIE, IN 47303-2974
(765) 288-4015
(765) 288-4047
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200311360
—
IN
Enumeration date
10/22/2006
Last updated
09/29/2011
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