Individual
MS. ANTOINETTE REDDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW, MS, MSW, LMHC
Contact information
Practice address
108 N MAIN ST, SOUTH BEND, IN 46601-1625
(574) 234-3515
Mailing address
108 N. MAIN STREET, SOUTH BEND, IN 46601
(574) 234-3515
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001018A
IN
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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