Organization
INNER SANCTUM COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY LARGO (THERAPIST)
(574) 285-2078
Entity
Organization
Contact information
Practice address
909 LINWAY DR STE 3, GOSHEN, IN 46526-2435
(574) 285-2078
Mailing address
909 LINWAY DR STE 3, GOSHEN, IN 46526-2435
(574) 285-2078
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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