Individual
KATHY ROMAN ST CLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
U
Credential
LCAC
Contact information
Practice address
100 N 15TH ST, RICHMOND, IN 47374-4355
(765) 983-8600
Mailing address
645 S ROGERS ST, BLOOMINGTON, IN 47403-2353
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
87000946A
IN
Other
Enumeration date
11/13/2024
Last updated
11/15/2024
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