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Individual

JONNARDA TOLBERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8670 BROADWAY B, SUITE E, MERRILLVILLE, IN 46410-7034
(219) 781-8791
Mailing address
6555 MONDA AVENUE, PORTAGE, IN 46368-4692
(219) 781-8791

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
88000570A
IN
101YM0800X
Mental Health Counselor
Primary
39003879A
IN
101YM0800X
Mental Health Counselor
88000570A
IN

Other

Enumeration date
03/12/2018
Last updated
06/10/2024
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