Organization
INTEGRATIVE COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS A DWORNICZEK LCSW (PRESIDENT)
(219) 922-0735
Entity
Organization
Contact information
Practice address
3037 45TH ST, HIGHLAND, IN 46322-3203
(219) 922-0735
(219) 924-2441
Mailing address
3037-45TH ST., HIGHLAND, IN 46322
(219) 922-0735
(219) 924-2441
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
34001178A
IN
Other
Enumeration date
12/24/2009
Last updated
12/24/2009
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