Individual
CHRISTINE NOWAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
300 N MICHIGAN ST, SUITE 405, SOUTH BEND, IN 46601-1295
(574) 234-3338
Mailing address
300 N MICHIGAN ST, SOUTH BEND, IN 46601-1295
(574) 234-3338
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
870001476A
IN
101YM0800X
Mental Health Counselor
39000487A
IN
106H00000X
Marriage & Family Therapist
35001097A
IN
Other
Enumeration date
01/14/2013
Last updated
01/14/2013
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