Individual
KEVIN ANDREW SATTERBLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
2004 VALPARAISO ST, VALPARAISO, IN 46383-3138
(219) 477-5646
(219) 728-4765
Mailing address
2004 VALPARAISO ST, VALPARAISO, IN 46383-3138
(219) 477-5646
(219) 728-4765
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35002170A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300058836
—
IN
Enumeration date
12/13/2017
Last updated
10/24/2024
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