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Individual

JACOB BIANCARDI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMHC, CSAYC, NCC

Contact information

Practice address
5033 W 92ND AVE, CROWN POINT, IN 46307-1677
(219) 775-2241
Mailing address
5033 W 92ND AVE, CROWN POINT, IN 46307-1677
(219) 775-2241

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
39003992A
IN
101YM0800X
Mental Health Counselor

Other

Enumeration date
10/06/2020
Last updated
05/18/2025
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