Individual
DANA FILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
308 MEDIC WAY, GREENCASTLE, IN 46135-2296
(888) 714-1927
(765) 653-8671
Mailing address
308 MEDIC WAY, GREENCASTLE, IN 46135-2296
(888) 714-1927
(765) 653-8671
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/02/2013
Last updated
08/01/2016
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