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Organization

FAITHFUL COUNSELING AND THERAPY SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBBIE D. SARDINA MA LCPC LMHC (PRESIDENT)
(312) 406-3776
Entity
Organization

Contact information

Practice address
57 MICHIGAN AVE, STE 100, VALPARAISO, IN 46383
(312) 406-3776
Mailing address
5401 4TH AVE, VALPARAISO, IN 46383-1170
(312) 406-3776

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1302266
ANTHEM BLUE CROSS AND BLUE SHIELD
Enumeration date
05/12/2022
Last updated
05/12/2022
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