Individual
MS. MARY JANE VACHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
300 N MICHIGAN ST, BOX 42, SOUTH BEND, IN 46601-1295
(574) 287-7399
Mailing address
300 N MICHIGAN ST, BOX 42, SOUTH BEND, IN 46601-1295
(574) 287-7399
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
34002602A
IN
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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