Organization
COMPASSIONATE CLINICAL COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELINE RAE SCHULLLER LSW (PROGRAM DIRECTOR)
(219) 750-9202
Entity
Organization
Contact information
Practice address
7030 STARLING DR, SCHERERVILLE, IN 46375-4436
(708) 527-4294
Mailing address
7030 STARLING DR, SCHERERVILLE, IN 46375-4436
(708) 527-4294
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
33007638A
IN
1041C0700X
Clinical Social Worker
Primary
1194719435
IN
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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