Individual
MS. JENNIFER A CIMBALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMHC
Contact information
Practice address
601 WALL ST, VALPARAISO, IN 46383-2512
(219) 476-4529
(219) 462-3975
Mailing address
706 WEST GRANDVIEW AVENUE, VALPARAISO, IN 46383
(219) 477-4391
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001571A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000316903
ANTHEM
IN
01
—
39001571A
LMHC
IN
Enumeration date
11/07/2005
Last updated
07/08/2007
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