Organization
COFFEE CLUTCH COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA CHAMBERS (OWNER)
(315) 408-9379
Entity
Organization
Contact information
Practice address
2151 LAFAYETTE AVE STE 105, TERRE HAUTE, IN 47805-2910
(315) 408-9379
(561) 282-3238
Mailing address
2151 LAFAYETTE AVE STE 105, TERRE HAUTE, IN 47805-2910
(315) 408-9379
(561) 282-3238
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/22/2019
Last updated
03/01/2019
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