Individual
DEBBIE A BALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADAC II
Contact information
Practice address
8000 MELTON RD, GARY, IN 46403-3114
(219) 938-4651
(219) 938-4679
Mailing address
8000 MELTON RD, GARY, IN 46403-3114
(219) 938-4651
(219) 938-4679
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C2-5035
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C2-5035
CADAC-II
IN
Enumeration date
08/20/2019
Last updated
08/20/2019
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