Individual
MELISSA KUCZMANSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
804 MONROE ST, LA PORTE, IN 46350-3511
(219) 229-0109
Mailing address
804 MONROE ST, LA PORTE, IN 46350-3511
(219) 229-0109
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88002130A
IN
Other
Enumeration date
10/11/2023
Last updated
08/25/2025
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