Organization
DAUNTLESS COUNSELING AND CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN J SHEPARD LCSW (OWNER)
(812) 502-4100
Entity
Organization
Contact information
Practice address
520 S WALNUT ST # 3126, BLOOMINGTON, IN 47401-4618
(812) 502-4100
Mailing address
520 S WALNUT ST # 3126, BLOOMINGTON, IN 47401-4618
(812) 502-4100
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/09/2022
Last updated
03/11/2022
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