Individual
ALEXANDRA VOSS KILLINGBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
607 LINCOLNWAY, VALPARAISO, IN 46383
(219) 548-8727
(219) 465-7211
Mailing address
607 LINCOLNWAY, VALPARAISO, IN 46383-5727
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87001574A
IN
104100000X
Social Worker
Primary
87001574A
IN
Other
Enumeration date
01/19/2018
Last updated
08/15/2018
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